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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 possible impaired renal function. Mildly elevated ALT may indicate liver involvement. LDL cholesterol is high and HDL is low, increasing cardiovascular risk. Chloride is slightly elevated, and globulin is low, which may warrant further evaluation. Other parameters are within normal limits. Recommend clinical correlation and further assessment of renal, hepatic, and cardiovascular status.</td></tr></table></div>"
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          "text": "Potassium [Moles/volume] in Blood"
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              "display": "Chloride [Moles/volume] in Blood"
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        ],
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            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2885-2",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Protein [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 7.2,
          "unit": "g/dL",
          "code": "g/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 6,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 8.3,
              "code": "g/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>14-Jan-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.2</td><td>6.0 - 8.3</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2021-01-14T06:17:44Z",
        "specimen": {
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    {
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        "id": "15973095-07ac-4b83-a6cc-88477b7244dc",
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        },
        "category": [
          {
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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"
            }
          ],
          "text": "Albumin [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 5.4,
          "unit": "g/dL",
          "code": "g/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 3.5,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.5,
              "code": "g/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>14-Jan-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>5.4</td><td>3.5 - 5.5</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:4bd68acc-116a-46c4-8406-db46680003f3",
          "display": "Tom Hayward"
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:0c8553f1-920d-42e1-867c-6af2756e8e47",
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        "id": "0c8553f1-920d-42e1-867c-6af2756e8e47",
        "meta": {
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        },
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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        ],
        "performer": [
          {
            "display": "The Central European Lab"
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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": 2.3,
          "unit": "g/L",
          "code": "g/L"
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        "referenceRange": [
          {
            "low": {
              "value": 20,
              "code": "g/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 39,
              "code": "g/L",
              "system": "http://unitsofmeasure.org"
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                "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>14-Jan-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td>2.3</td><td>20 - 39</td><td>L</td><td>g/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:4bd68acc-116a-46c4-8406-db46680003f3",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2021-01-14T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:996315d2-6bb9-4aec-b0a7-b2cdceb15b99"
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      }
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    {
      "fullUrl": "urn:uuid:8950b232-385e-4c35-bc04-5f660e73c7ee",
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        "id": "8950b232-385e-4c35-bc04-5f660e73c7ee",
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        },
        "category": [
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            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": 0.5,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.3,
              "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>14-Jan-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.5</td><td>0.3 - 1.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:4bd68acc-116a-46c4-8406-db46680003f3",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2021-01-14T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:daa71398-7709-43a6-8fc8-2d43ed338e7a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b10c4ecb-917f-4f8d-977a-f1d7396fe4d1",
      "resource": {
        "resourceType": "Observation",
        "id": "b10c4ecb-917f-4f8d-977a-f1d7396fe4d1",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": 50.7,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 39,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 117,
              "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>14-Jan-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>50.7</td><td>39 - 117</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:4bd68acc-116a-46c4-8406-db46680003f3",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2021-01-14T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:daa71398-7709-43a6-8fc8-2d43ed338e7a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:1175cfc1-806b-49d7-8bef-24e4bfb4d549",
      "resource": {
        "resourceType": "Observation",
        "id": "1175cfc1-806b-49d7-8bef-24e4bfb4d549",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": 59.1,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 10,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 40,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "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>14-Jan-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>59.1</td><td>10 - 40</td><td>H</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:4bd68acc-116a-46c4-8406-db46680003f3",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2021-01-14T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:daa71398-7709-43a6-8fc8-2d43ed338e7a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3417ad7d-bb57-4750-b4a9-1d0bbfe3d7a1",
      "resource": {
        "resourceType": "Observation",
        "id": "3417ad7d-bb57-4750-b4a9-1d0bbfe3d7a1",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": 37.2,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
          {
            "low": {
              "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>14-Jan-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>37.2</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:4bd68acc-116a-46c4-8406-db46680003f3",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2021-01-14T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:daa71398-7709-43a6-8fc8-2d43ed338e7a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:add4d991-8c09-4ef1-bada-386f142d5333",
      "resource": {
        "resourceType": "Observation",
        "id": "add4d991-8c09-4ef1-bada-386f142d5333",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": 183.2,
          "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>14-Jan-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>183.2</td><td>125 - 200</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:4bd68acc-116a-46c4-8406-db46680003f3",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2021-01-14T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:daa71398-7709-43a6-8fc8-2d43ed338e7a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ddf6b5aa-b1ac-4f5e-935a-da9c559cdd32",
      "resource": {
        "resourceType": "Observation",
        "id": "ddf6b5aa-b1ac-4f5e-935a-da9c559cdd32",
        "meta": {
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": 137.2,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 150,
              "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>14-Jan-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>137.2</td><td>0 - 150</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:4bd68acc-116a-46c4-8406-db46680003f3",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2021-01-14T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:daa71398-7709-43a6-8fc8-2d43ed338e7a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:66fedad1-f117-4c84-85ef-e492886f81d3",
      "resource": {
        "resourceType": "Observation",
        "id": "66fedad1-f117-4c84-85ef-e492886f81d3",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "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": 121.2,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "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>14-Jan-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>121.2</td><td>0 - 100</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:4bd68acc-116a-46c4-8406-db46680003f3",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2021-01-14T06:17:44Z",
        "specimen": {
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              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
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                "display": "Low"
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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>14-Jan-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>34.3</td><td>40 - 60</td><td>L</td><td>mg/dL</td></tr></table></div>"
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        "id": "ebbaa2e6-d9fe-4d0f-ae34-4e1e2c00d38f",
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            "type": "manufacturer-name"
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        "version": [
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            "value": "5.0"
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          "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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              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
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        ],
        "agent": [
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                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2021-01-14T07:17:44Z"
      }
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 9746320c-cfb5-4b10-8247-7243aa7fc8ed</div>"
        },
        "practitioner": {
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            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
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      }
    }
  ],
  "type": "document",
  "timestamp": "2021-01-14T07:17:44Z"
}