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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>28-MAR-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>91.8</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>11.6</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.0 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.7</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>141.3</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.7</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>102.7</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>27.4</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.7</td><td>6.6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>3.7</td><td>3.5 - 5.0</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>3.4 L</strong></td><td>25 - 35</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.3</td><td>0.1 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>70.3</td><td>30 - 120</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>48.9</td><td>7 - 56</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>28.0</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>186.6</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td><strong>183.6 H</strong></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><strong>129.8 H</strong></td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>77.7</td><td>40 - 90</td><td>mg/dL</td></tr></tbody></table></div>"
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            "title": "Laboratory Report"
          },
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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 significantly elevated creatinine, suggesting impaired renal function, and low globulin, which may indicate hypogammaglobulinemia or a calculation/unit error. Lipid profile reveals high triglycerides and LDL cholesterol, increasing cardiovascular risk. Other parameters, including glucose, electrolytes, liver enzymes, and proteins, are within normal limits. Recommend further evaluation of renal function and lipid management.</td></tr></table></div>"
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          "reference": "urn:uuid:622a94b4-4656-4629-b7ae-82362f16ad14",
          "display": "Patricia Joubert"
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        "date": "2016-03-28T08:42:07Z",
        "title": "Laboratory Report",
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          "display": "Patricia Joubert"
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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"
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        ],
        "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"
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        ],
        "extension": [
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            "extension": [
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                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
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                      "code": "FR",
                      "system": "urn:iso:std:iso:3166"
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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>Patricia Joubert</td><td>female</td><td>10-Sep-1939</td></tr></table></div>"
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        "gender": "female",
        "birthDate": "1939-09-10"
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        "reasonCode": [
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            "coding": [
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                "code": "433144002",
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                "display": "Chronic kidney disease stage 3"
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            ]
          },
          {
            "coding": [
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                "code": "157141000119108",
                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
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            ]
          },
          {
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                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
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            ]
          },
          {
            "coding": [
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                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
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                "code": "26929004",
                "system": "http://snomed.info/sct",
                "display": "Alzheimer's disease"
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            ]
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          {
            "coding": [
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                "display": "Acute ST segment elevation myocardial infarction"
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          {
            "coding": [
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                "code": "127013003",
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                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
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          {
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                "display": "Ischemic heart disease"
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                "display": "Chronic kidney disease stage 1"
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                "display": "Chronic sinusitis"
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                "display": "Mitral valve stenosis"
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                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
          },
          {
            "coding": [
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                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "active",
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        "code": {
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        "address": [
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        "text": {
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              "display": "Albumin [Mass/volume] in Serum or Plasma"
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              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          "value": 48.9,
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        "code": {
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              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 28,
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              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 186.6,
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        "text": {
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        },
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        "code": {
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              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
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          "value": 183.6,
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        },
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        "code": {
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              "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
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          ],
          "text": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
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        "valueQuantity": {
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          "value": 129.8,
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            ]
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        ],
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        },
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": 77.7,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 40,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "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>28-Mar-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>77.7</td><td>40 - 90</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:622a94b4-4656-4629-b7ae-82362f16ad14",
          "display": "Patricia Joubert"
        },
        "effectiveDateTime": "2016-03-28T06:42:07Z",
        "specimen": {
          "reference": "urn:uuid:f1cff100-a87a-4802-987f-e406b8fb7d6d"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e4c68f5a-5991-4f21-8f7f-54dde335d7ba",
      "resource": {
        "resourceType": "Device",
        "id": "e4c68f5a-5991-4f21-8f7f-54dde335d7ba",
        "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:d53f18da-cba1-4068-9e5b-44944ec22deb",
      "resource": {
        "resourceType": "Provenance",
        "id": "d53f18da-cba1-4068-9e5b-44944ec22deb",
        "target": [
          {
            "reference": "urn:uuid:622a94b4-4656-4629-b7ae-82362f16ad14"
          },
          {
            "reference": "urn:uuid:e4807c9b-f7ca-4f19-ae48-3abf0d7199dd"
          },
          {
            "reference": "urn:uuid:6304aa5c-a9f2-42f8-b490-a6d7da6c25be"
          },
          {
            "reference": "urn:uuid:2ebda776-8802-4dd5-bf17-9ae9e5d0e5ee"
          },
          {
            "reference": "urn:uuid:a0767963-8fe1-4977-b50d-c24b4bb0670f"
          },
          {
            "reference": "urn:uuid:2933ff5f-814a-422a-960f-ac44ecf9d7c2"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:e4c68f5a-5991-4f21-8f7f-54dde335d7ba"
            }
          }
        ],
        "reason": [
          {
            "coding": [
              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2016-03-28T08:42:07Z"
      }
    },
    {
      "fullUrl": "urn:uuid:6304aa5c-a9f2-42f8-b490-a6d7da6c25be",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "6304aa5c-a9f2-42f8-b490-a6d7da6c25be",
        "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: 6304aa5c-a9f2-42f8-b490-a6d7da6c25be</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:2ebda776-8802-4dd5-bf17-9ae9e5d0e5ee"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2ebda776-8802-4dd5-bf17-9ae9e5d0e5ee",
      "resource": {
        "resourceType": "Practitioner",
        "id": "2ebda776-8802-4dd5-bf17-9ae9e5d0e5ee",
        "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": "108f2e30-c7f8-4a26-a0e2-eb0d607c20ee"
          }
        ],
        "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": "2016-03-28T08:42:07Z"
}