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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>08-MAR-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>82.0</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>16.4</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 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>141.8</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>108.8 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>24.1</td><td>22 - 32</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>3.3 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>82.0</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>16.4</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.4 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>141.8</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>108.8 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>24.1</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>149.4</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>121.5</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>77.3</td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>47.8</td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td>28.7</td><td>0 - 30</td><td>mg/g</td></tr></tbody></table></div>"
                },
                "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>08-MAR-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.6</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>0.8</td><td>0 - 1</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>5.4</td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>5.1</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>249.2 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr></tbody></table></div>"
                },
                "title": "Urinalysis"
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                  "text": "Specimen information"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Specimen information</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>08-MAR-2018</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>The patient shows significantly elevated creatinine in both serum and blood, suggesting impaired renal function. Urinalysis reveals marked proteinuria, glucosuria, low specific gravity, and abnormal urine appearance, supporting possible nephropathy. Hemoglobin A1c is low, but urine and blood glucose are normal, making diabetes less likely. Mildly elevated chloride is noted. Recommend urgent nephrology evaluation for possible chronic kidney disease and further assessment of underlying etiology.</td></tr></table></div>"
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          "display": "Tom Hayward"
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              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          "text": "Bilirubin.total [Presence] in Urine by Test strip"
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        "code": {
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              "code": "5797-6",
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              "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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              "code": "2514-8",
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              "display": "Ketones [Presence] in Urine by Test strip"
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          "text": "Ketones [Presence] in Urine by Test strip"
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              "code": "5803-2",
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              "code": "5804-0",
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              "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": 249.2,
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              "code": "20454-5",
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        "code": {
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              "code": "5802-4",
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              "display": "Nitrite [Presence] in Urine by Test strip"
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          "text": "Nitrite [Presence] in Urine by Test strip"
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              "code": "5794-3",
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              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          "text": "Hemoglobin [Presence] in Urine by Test strip"
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              "code": "5799-2",
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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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              "code": "4548-4",
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              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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          ],
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          "value": 3.3,
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              "value": 150,
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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": 77.3,
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          "status": "generated",
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              "code": "2085-9",
              "system": "http://loinc.org",
              "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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          "value": 47.8,
          "unit": "mg/dL",
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        "code": {
          "coding": [
            {
              "code": "14959-1",
              "system": "http://loinc.org",
              "display": "Microalbumin/Creatinine [Mass Ratio] in Urine"
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          ],
          "text": "Microalbumin/Creatinine [Mass Ratio] in Urine"
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          "value": 28.7,
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            "high": {
              "value": 30,
              "code": "mg/g",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>08-Mar-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td>28.7</td><td>0 - 30</td><td></td><td>mg/g</td></tr></table></div>"
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        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2018-03-08T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:5a0ec963-ef59-42e8-97b2-4690679045ba"
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    {
      "fullUrl": "urn:uuid:b746adc4-c588-4503-9053-12aacbbbbf27",
      "resource": {
        "resourceType": "Device",
        "id": "b746adc4-c588-4503-9053-12aacbbbbf27",
        "deviceName": [
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            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "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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    {
      "fullUrl": "urn:uuid:845d9b30-b95b-4a18-8481-2891d7080c30",
      "resource": {
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        "target": [
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          {
            "reference": "urn:uuid:6e98176f-6f7e-4894-826f-98867f9d709f"
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          {
            "reference": "urn:uuid:f053001c-3f16-4630-9e4e-37c0ed859efa"
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          {
            "reference": "urn:uuid:ae192909-b13d-4831-8d00-0b5213c72065"
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              "code": "CREATE",
              "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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                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "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": "2018-03-08T07:17:44Z"
      }
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      "fullUrl": "urn:uuid:f053001c-3f16-4630-9e4e-37c0ed859efa",
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        "meta": {
          "profile": [
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: f053001c-3f16-4630-9e4e-37c0ed859efa</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:ae192909-b13d-4831-8d00-0b5213c72065"
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    {
      "fullUrl": "urn:uuid:ae192909-b13d-4831-8d00-0b5213c72065",
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        "resourceType": "Practitioner",
        "id": "ae192909-b13d-4831-8d00-0b5213c72065",
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        "identifier": [
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "7b4333c9-92cd-4d03-822a-9906ecc1a802"
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        ],
        "name": [
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            "family": "Ample"
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        ],
        "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": "2018-03-08T07:17:44Z"
}