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                  "coding": [
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                      "display": "Hematology studies (set)"
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                  {
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Hematology</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>17-NOV-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>9.7</td><td>4.0 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>4.0</td><td>3.8 - 5.2</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>13.9</td><td>12 - 16</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td><strong>49.1 H</strong></td><td>36 - 46</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>81.3</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>29.1</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td>33.9</td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte distribution width [Entitic volume] by Automated count</td><td>41.3</td><td>36 - 48</td><td>fL</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td><strong>417.7 H</strong></td><td>150 - 400</td><td>10*3/uL</td></tr><tr><td>Platelet distribution width [Entitic volume] in Blood by Automated count</td><td><strong>429.9 H</strong></td><td>9.4 - 12.3</td><td>fL</td></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td>10.9</td><td>7.2 - 11.1</td><td>fL</td></tr></tbody></table></div>"
                },
                "title": "Hematology"
              },
              {
                "code": {
                  "coding": [
                    {
                      "code": "18719-5",
                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
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                  "text": "Chemistry"
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                    "reference": "urn:uuid:834d8d97-8393-4e8a-95ee-0b9c3cd395d5"
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                  {
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                    "reference": "urn:uuid:4f8784cc-14c3-49ec-b4d0-a5bc2f51d2d7"
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                    "reference": "urn:uuid:d0ad5224-ce25-41cb-a81b-786e61883acd"
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                    "reference": "urn:uuid:31144279-1d13-40fa-b2d8-c1e05be3be36"
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                  {
                    "reference": "urn:uuid:b470185f-519c-4dd1-afa2-6e81f38d8261"
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                  {
                    "reference": "urn:uuid:20f9d567-ecea-4d87-8da3-817a5a273cf0"
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                  {
                    "reference": "urn:uuid:45e4c4f6-5016-4b22-8c3e-d20c99f6b6c1"
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                  {
                    "reference": "urn:uuid:db20d7f6-4480-4da1-8ba5-50c82302c0f4"
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                  {
                    "reference": "urn:uuid:4a119996-1c59-4218-b611-d5e778476328"
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                  {
                    "reference": "urn:uuid:e2ce99c2-7480-4e3c-9343-49397d034e30"
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                  {
                    "reference": "urn:uuid:dabe85c5-964a-4ba6-9a81-3d699991577d"
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                    "reference": "urn:uuid:ea14eca0-5fe0-439d-881e-5aa36df1201b"
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                "text": {
                  "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>17-NOV-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td><strong>67.8 L</strong></td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>13.9</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>9.8</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>137.1</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.2</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>105.8</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>28.3</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>3.4 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>67.8 L</strong></td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>13.9</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>0.9</td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.8</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>137.1</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.2</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>105.8</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>28.3</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
                "code": {
                  "coding": [
                    {
                      "code": "18729-4",
                      "system": "http://loinc.org",
                      "display": "Urinalysis studies (set)"
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                  ],
                  "text": "Urinalysis"
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                "entry": [
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                    "reference": "urn:uuid:d75fd906-d97a-4057-a5b5-e05211667a7a"
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                    "reference": "urn:uuid:b53e01eb-5c03-49a9-8551-36afa0dc0383"
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                  {
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                  {
                    "reference": "urn:uuid:3d1677f6-09e5-4190-aa16-18fa8c2eba3c"
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                  {
                    "reference": "urn:uuid:d0404aca-0841-4b56-9cf7-cfa829b4313c"
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                  {
                    "reference": "urn:uuid:68966381-51fd-45fa-9d59-978c17e4bfb6"
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                  {
                    "reference": "urn:uuid:338a3762-2d53-4640-93ae-7429d0291b6f"
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                  {
                    "reference": "urn:uuid:b0bb50ce-263d-414d-8f17-af62777cb642"
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                "text": {
                  "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>17-NOV-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.7</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>1.3</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>12.5 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>5.2</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>284.2 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"
              },
              {
                "code": {
                  "coding": [
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                      "system": "http://loinc.org",
                      "display": "Specimen information"
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                  ],
                  "text": "Specimen information"
                },
                "entry": [
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                    "reference": "urn:uuid:3e168fa6-fe37-493b-ae58-9fae530f78af"
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                  {
                    "reference": "urn:uuid:d372828e-f724-4209-8c1d-9652f24d9b71"
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                    "reference": "urn:uuid:1f885f55-f5e2-4acb-8c5b-8f42a94da272"
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                  {
                    "reference": "urn:uuid:859fccc6-0a20-4633-90eb-df6adfaaac11"
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                ],
                "text": {
                  "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>17-NOV-2021</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>"
                },
                "title": "Specimen information"
              }
            ],
            "title": "Laboratory Report"
          },
          {
            "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 mild hypoglycemia and low HbA1c, suggesting possible overtreatment of diabetes or poor nutritional intake. Elevated creatinine may indicate impaired renal function. Urinalysis reveals proteinuria, ketonuria, and abnormal appearance, raising concern for renal pathology or dehydration. Hematocrit and platelet count are elevated, possibly reflecting hemoconcentration. Recommend clinical correlation for renal and metabolic status, review of diabetes management, and further evaluation for underlying renal or urinary tract disease.</td></tr></table></div>"
            },
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        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:85aef731-3f18-4c03-aad5-db0a51ef63e6",
          "display": "Patricia Joubert"
        },
        "date": "2021-11-17T07:42:07Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
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            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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          "text": "Protein [Mass/volume] in Urine by Test strip"
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          "value": 284.2,
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              "display": "Nitrite [Presence] in Urine by Test strip"
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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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              "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"
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              "code": "4548-4",
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          "value": 13.9,
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            "high": {
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              "system": "http://unitsofmeasure.org"
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              "display": "Sodium [Moles/volume] in Blood"
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          "value": 137.1,
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          ],
          "text": "Potassium [Moles/volume] in Blood"
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          "value": 4.2,
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          ],
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          "value": 105.8,
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
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          "unit": "mmol/L",
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        "text": {
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              "display": "Erythrocytes [#/volume] in Blood by Automated count"
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              "system": "http://loinc.org",
              "display": "MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count"
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              "display": "Erythrocyte distribution width [Entitic volume] by Automated count"
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          "text": "Erythrocyte distribution width [Entitic volume] by Automated count"
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        "status": "final",
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              "code": "777-3",
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              "display": "Platelets [#/volume] in Blood by Automated count"
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          ],
          "text": "Platelets [#/volume] in Blood by Automated count"
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        "status": "final",
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              "display": "Platelet distribution width [Entitic volume] in Blood by Automated count"
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          ],
          "text": "Platelet distribution width [Entitic volume] in Blood by Automated count"
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        "valueQuantity": {
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          "value": 429.9,
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            {
              "code": "32623-1",
              "system": "http://loinc.org",
              "display": "Platelet [Entitic mean volume] in Blood by Automated count"
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          "text": "Platelet [Entitic mean volume] in Blood by Automated count"
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        "valueQuantity": {
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          "value": 10.9,
          "unit": "fL",
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            "high": {
              "value": 11.1,
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              "system": "http://unitsofmeasure.org"
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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>17-Nov-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td>10.9</td><td>7.2 - 11.1</td><td></td><td>fL</td></tr></table></div>"
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        "id": "ea263c3f-43ce-402b-b0cc-d64cb4c6f37e",
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        "version": [
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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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              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
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        "agent": [
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                "display": "training"
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            "text": "Interoperability Testing and Training (non-clinical use)"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2021-11-17T07:42:07Z"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: e2771da9-e018-46ef-a691-6d58fc3c28d7</div>"
        },
        "practitioner": {
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            "line": [
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            ],
            "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>"
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  "type": "document",
  "timestamp": "2021-11-17T07:42:07Z"
}