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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>27-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>93.6</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>7.5</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.0 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>10.1</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>143.8</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>3.8</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>102.1</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>24.8</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>93.6</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>7.5</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>1.1</td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>10.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>143.8</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>3.8</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>102.1</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>24.8</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>153.7</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>129.3</td><td>0 - 149</td><td>mg/dL</td></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>79.5</td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>48.3</td><td>40 - 90</td><td>mg/dL</td></tr></tbody></table></div>"
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                "title": "Chemistry"
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>27-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>2.4</td><td>0 - 5</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>0.7</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><strong>11.3 H</strong></td><td>0 - 4</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>5.1</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>287.4 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>27-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>"
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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>Renal function is impaired (elevated serum creatinine), and there is significant proteinuria and ketonuria with low urine specific gravity, suggesting possible renal pathology (e.g., nephrotic syndrome or acute kidney injury). Urine is cloudy, brown, and ammoniacal, but no evidence of infection (negative nitrites/leukocytes). HbA1c is low, excluding chronic hyperglycemia. Recommend further nephrological evaluation and assessment for underlying causes of proteinuria and renal impairment.</td></tr></table></div>"
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            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
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        },
        "identifier": [
          {
            "type": {
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                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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              ]
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "7843-162355-8"
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          {
            "type": {
              "coding": [
                {
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                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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            "system": "http://local.setting.eu/identifier",
            "value": "ba17a51d-e5e2-2da2-b64f-9361f1a480e6"
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        ],
        "name": [
          {
            "given": [
              "Patricia"
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            "family": "Joubert",
            "text": "Patricia Joubert"
          }
        ],
        "address": [
          {
            "line": [
              "7, chemin Lenoir"
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            "use": "home",
            "type": "physical",
            "postalCode": "50570",
            "city": "Delahaye-la-Forêt",
            "country": "France"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "0760047035"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "FR",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Patricia Joubert</td><td>female</td><td>10-Sep-1939</td></tr></table></div>"
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        "gender": "female",
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    {
      "fullUrl": "urn:uuid:c762f0d0-0f96-4b40-8afa-d1bf2c97dad2",
      "resource": {
        "resourceType": "ServiceRequest",
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            "system": "http://example.org",
            "value": "b054150a-f68d-4185-8e17-9933633b98f5"
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          {
            "reference": "urn:uuid:a8fc8320-122d-4a0a-bd90-3e35a9e0eed6"
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          {
            "reference": "urn:uuid:26d53a90-baa4-434b-9d77-ca39cf8383b3"
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "433144002",
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                "display": "Chronic kidney disease stage 3"
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            ]
          },
          {
            "coding": [
              {
                "code": "157141000119108",
                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "90781000119102",
                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "26929004",
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                "display": "Alzheimer's disease"
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            ]
          },
          {
            "coding": [
              {
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                "system": "http://snomed.info/sct",
                "display": "Acute ST segment elevation myocardial infarction"
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            ]
          },
          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "414545008",
                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
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            ]
          },
          {
            "coding": [
              {
                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
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            ]
          },
          {
            "coding": [
              {
                "code": "40055000",
                "system": "http://snomed.info/sct",
                "display": "Chronic sinusitis"
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            ]
          },
          {
            "coding": [
              {
                "code": "79619009",
                "system": "http://snomed.info/sct",
                "display": "Mitral valve stenosis"
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            ]
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          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
          },
          {
            "coding": [
              {
                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
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            ]
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          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
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        ],
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          ]
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        "subject": {
          "reference": "urn:uuid:eae30389-b91a-45db-ba28-389e446ac2ff",
          "display": "Patricia Joubert"
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          "reference": "urn:uuid:9c86ef17-2939-4a29-88cd-42f427763c4a"
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        "resourceType": "PractitionerRole",
        "id": "9c86ef17-2939-4a29-88cd-42f427763c4a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 9c86ef17-2939-4a29-88cd-42f427763c4a</div>"
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        "organization": {
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        "resourceType": "Organization",
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          {
            "assigner": {
              "display": "HL7 Europe"
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
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            "country": "France"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Maison Médical</div>"
        },
        "name": "Maison Médical"
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    {
      "fullUrl": "urn:uuid:53ad1f83-254e-44f4-b79d-86dc63599b91",
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        },
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              "display": "Acellular blood (serum or plasma) specimen"
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        "collection": {
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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>Specimen</th><th>Collection Date</th></tr><tr><td>Urine specimen</td><td><span class=\"nb\">27-Nov-2019</span></td></tr></table></div>"
        },
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              "display": "Urine specimen"
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        },
        "type": {
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            {
              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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            {
              "code": "2345-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
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          "unit": "mg/dL",
          "code": "mg/dL"
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            "high": {
              "value": 140,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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        },
        "status": "final",
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          "display": "Patricia Joubert"
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        "specimen": {
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              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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          "text": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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              "display": "Creatinine [Mass/volume] in Serum or Plasma"
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          "value": 2,
          "unit": "mg/dL",
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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": {
          "system": "http://unitsofmeasure.org",
          "value": 10.1,
          "unit": "mg/dL",
          "code": "mg/dL"
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            },
            "high": {
              "value": 10.3,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
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        },
        "status": "final",
        "subject": {
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          "display": "Patricia Joubert"
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        "effectiveDateTime": "2019-11-27T06:42:07Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:5d4c3762-8120-438a-8aa5-c46f27eff95d",
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        "code": {
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              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 143.8,
          "unit": "mmol/L",
          "code": "mmol/L"
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              "value": 135,
              "code": "mmol/L",
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            "high": {
              "value": 145,
              "code": "mmol/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>27-Nov-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>143.8</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Patricia Joubert"
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        "effectiveDateTime": "2019-11-27T06:42:07Z",
        "specimen": {
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              "code": "2514-8",
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          "text": "Ketones [Presence] in Urine by Test strip"
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              "display": "Protein [Mass/volume] in Urine by Test strip"
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          "value": 287.4,
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              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
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        "text": {
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              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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          "value": 79.5,
          "unit": "mg/dL",
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            },
            "high": {
              "value": 100,
              "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>27-Nov-2019</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>79.5</td><td>0 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:eae30389-b91a-45db-ba28-389e446ac2ff",
          "display": "Patricia Joubert"
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        "effectiveDateTime": "2019-11-27T06:42:07Z",
        "specimen": {
          "reference": "urn:uuid:53ad1f83-254e-44f4-b79d-86dc63599b91"
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    {
      "fullUrl": "urn:uuid:dec32470-d4a9-4dfa-8a86-e879c8e329df",
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        "category": [
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                "code": "laboratory",
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          {
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        ],
        "code": {
          "coding": [
            {
              "code": "2085-9",
              "system": "http://loinc.org",
              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 48.3,
          "unit": "mg/dL",
          "code": "mg/dL"
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            },
            "high": {
              "value": 90,
              "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>27-Nov-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>48.3</td><td>40 - 90</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:eae30389-b91a-45db-ba28-389e446ac2ff",
          "display": "Patricia Joubert"
        },
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        "specimen": {
          "reference": "urn:uuid:53ad1f83-254e-44f4-b79d-86dc63599b91"
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      }
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    {
      "fullUrl": "urn:uuid:1787f0c5-7f22-4d6e-8f38-d5c54f3c3d3b",
      "resource": {
        "resourceType": "Device",
        "id": "1787f0c5-7f22-4d6e-8f38-d5c54f3c3d3b",
        "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:5b7d022c-a7ea-4e67-b140-c7b9d8bdc576",
      "resource": {
        "resourceType": "Provenance",
        "id": "5b7d022c-a7ea-4e67-b140-c7b9d8bdc576",
        "target": [
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          {
            "reference": "urn:uuid:f2548423-fbba-4d43-9c3d-233954b8a1f2"
          },
          {
            "reference": "urn:uuid:017ad413-3547-432d-a24d-86ca7b8e957d"
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          {
            "reference": "urn:uuid:49eea730-8492-4f26-a514-008fd04bea7f"
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          {
            "reference": "urn:uuid:9c86ef17-2939-4a29-88cd-42f427763c4a"
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            "reference": "urn:uuid:5f1a64f5-6fb7-4496-9f25-f811b1c5e398"
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            {
              "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:1787f0c5-7f22-4d6e-8f38-d5c54f3c3d3b"
            }
          }
        ],
        "reason": [
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            "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": "2019-11-27T07:42:07Z"
      }
    },
    {
      "fullUrl": "urn:uuid:017ad413-3547-432d-a24d-86ca7b8e957d",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "017ad413-3547-432d-a24d-86ca7b8e957d",
        "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: 017ad413-3547-432d-a24d-86ca7b8e957d</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:49eea730-8492-4f26-a514-008fd04bea7f"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:49eea730-8492-4f26-a514-008fd04bea7f",
      "resource": {
        "resourceType": "Practitioner",
        "id": "49eea730-8492-4f26-a514-008fd04bea7f",
        "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": "aceebcfa-6faf-498c-b6c6-697414bbcbb6"
          }
        ],
        "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": "2019-11-27T07:42:07Z"
}