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                  "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-APR-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>80.1</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>7.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.1 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>8.6</td><td>8.6 - 10.2</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>142.5</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>3.9</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>110.6 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><strong>20.8 L</strong></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>2.9 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr></tbody></table></div>"
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                  "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-APR-2022</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>1.2 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>0.5</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>8.5</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>6.2</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>313.4 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>"
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                  "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-APR-2022</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>"
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            "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 serum creatinine, low CO₂, high chloride, and significant proteinuria, glycosuria, and ketonuria, with low urine specific gravity and abnormal urine appearance. These findings suggest impaired renal function, possible tubular dysfunction, and metabolic derangement. Low HbA1c argues against chronic hyperglycemia. Recommend urgent nephrology evaluation to assess for acute or chronic kidney disease and further investigate the etiology of renal and metabolic abnormalities.</td></tr></table></div>"
            },
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:0fd19587-5f6f-4e72-93da-8b711d4b1aa3",
          "display": "Angela Bauer"
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        "date": "2022-04-22T13:23:19Z",
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          "reference": "urn:uuid:0fd19587-5f6f-4e72-93da-8b711d4b1aa3",
          "display": "Angela Bauer"
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              "code": "TRAIN"
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          ],
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              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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        "identifier": [
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            "system": "http://local.setting.eu/identifier",
            "value": "ea91d0bd-b06d-03f2-3cd0-b401630c04cf"
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        ],
        "name": [
          {
            "given": [
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            "family": "Bauer",
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        ],
        "address": [
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            "use": "home",
            "type": "physical",
            "postalCode": "6240",
            "city": "Rattenberg",
            "country": "Austria"
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        ],
        "telecom": [
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            "system": "phone",
            "value": "(06235) 28231 921"
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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>Angela Bauer</td><td>female</td><td>08-Dec-1968</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1968-12-08"
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        ],
        "reasonCode": [
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            "coding": [
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                "code": "433144002",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 3"
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            ]
          },
          {
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                "code": "157141000119108",
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                "display": "Proteinuria due to type 2 diabetes mellitus"
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            "coding": [
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                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
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            ]
          },
          {
            "coding": [
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                "code": "239872002",
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                "display": "Osteoarthritis of hip"
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            ]
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                "display": "Chronic kidney disease stage 2"
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            ]
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              "display": "Calcium [Mass/volume] in Serum or Plasma"
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              "display": "Potassium [Moles/volume] in Serum or Plasma"
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              "display": "Chloride [Moles/volume] in Serum or Plasma"
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              "code": "5767-9",
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              "display": "Odor of Urine"
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          ],
          "text": "Odor of Urine"
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        },
        "category": [
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              "code": "32167-9",
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              "display": "Clarity of Urine"
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          ],
          "text": "Clarity of Urine"
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              "code": "5778-6",
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              "display": "Color of Urine"
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          ],
          "text": "Color of Urine"
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        },
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              "code": "5792-7",
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              "display": "Glucose [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Glucose [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 1.2,
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              "code": "25428-4",
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              "display": "Glucose [Presence] in Urine by Test strip"
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          ],
          "text": "Glucose [Presence] in Urine by Test strip"
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        "code": {
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              "code": "20505-4",
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              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 0.5,
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              "code": "5770-3",
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              "display": "Bilirubin.total [Presence] in Urine by Test strip"
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          "text": "Bilirubin.total [Presence] in Urine by Test strip"
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        "category": [
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        "code": {
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              "code": "5797-6",
              "system": "http://loinc.org",
              "display": "Ketones [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Ketones [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 8.5,
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          }
        ],
        "text": {
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        },
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              "display": "Ketones [Presence] in Urine by Test strip"
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          ],
          "text": "Ketones [Presence] in Urine by Test strip"
        },
        "text": {
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        "code": {
          "coding": [
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              "code": "5811-5",
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              "display": "Specific gravity of Urine by Test strip"
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          "text": "Specific gravity of Urine by Test strip"
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              "code": "5803-2",
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              "display": "pH of Urine by Test strip"
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          "text": "pH of Urine by Test strip"
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          "value": 6.2,
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        "code": {
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              "code": "5804-0",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Urine by Test strip"
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          "text": "Protein [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 313.4,
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          "code": "mg/dL"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>22-Apr-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>313.4</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
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              "code": "20454-5",
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              "display": "Protein [Presence] in Urine by Test strip"
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          "text": "Protein [Presence] in Urine by Test strip"
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        "valueCodeableConcept": {
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              "display": "Urine protein test = ++"
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        "code": {
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              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
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          "text": "Nitrite [Presence] in Urine by Test strip"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>22-Apr-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td></tr></table></div>"
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              "display": "Urine nitrite negative"
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        "code": {
          "coding": [
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              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>22-Apr-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td></tr></table></div>"
        },
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        "valueCodeableConcept": {
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              "display": "Urine blood test = negative"
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        "code": {
          "coding": [
            {
              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>22-Apr-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td></tr></table></div>"
        },
        "status": "final",
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        "valueCodeableConcept": {
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              "display": "Urine leukocyte test negative"
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        "code": {
          "coding": [
            {
              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
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        "valueQuantity": {
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          "value": 2.9,
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            "high": {
              "value": 5.6,
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                "display": "Low"
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      "resource": {
        "resourceType": "Device",
        "id": "6171ebe5-442e-4705-b3d4-c16ecd545e9a",
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            "type": "manufacturer-name"
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        "version": [
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            "value": "5.0"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
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      "resource": {
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              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
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        "policy": [
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        "agent": [
          {
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              "coding": [
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                  "code": "author",
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              "text": "author"
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        "reason": [
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              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "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": "2022-04-22T13:23:19Z"
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        },
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      "resource": {
        "resourceType": "Practitioner",
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        "identifier": [
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "c0c8a391-62d2-4714-a87f-b727000ba674"
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        ],
        "name": [
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            "given": [
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            "family": "Ample"
          }
        ],
        "address": [
          {
            "line": [
              "Laboratoire Central Européenne",
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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": "2022-04-22T13:23:19Z"
}