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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, suggesting impaired renal function, and a low globulin level, which may indicate hypogammaglobulinemia or laboratory error (unit discrepancy noted). Other parameters, including glucose, electrolytes, liver enzymes, and lipid profile, are within normal limits. Renal impairment should be further evaluated clinically.</td></tr></table></div>"
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              "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>17-Apr-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>44.3</td><td>40 - 90</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:2eb00837-2ae7-44d3-8247-5767d35b185d",
          "display": "Patricia Joubert"
        },
        "effectiveDateTime": "2019-04-17T06:42:07Z",
        "specimen": {
          "reference": "urn:uuid:3c59aa62-5381-41da-a706-b029ee747154"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7e3811a1-4445-43ed-9aa7-153370428642",
      "resource": {
        "resourceType": "Device",
        "id": "7e3811a1-4445-43ed-9aa7-153370428642",
        "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:5daa950a-fb9f-41eb-ac04-f1cb954729e7",
      "resource": {
        "resourceType": "Provenance",
        "id": "5daa950a-fb9f-41eb-ac04-f1cb954729e7",
        "target": [
          {
            "reference": "urn:uuid:2eb00837-2ae7-44d3-8247-5767d35b185d"
          },
          {
            "reference": "urn:uuid:ec9d5d3a-114b-41aa-ba11-3449b82cfe3f"
          },
          {
            "reference": "urn:uuid:ca1a2e21-a9ef-437d-9ad6-dd580b10172b"
          },
          {
            "reference": "urn:uuid:01d7b2c1-5a6c-4298-ae8b-131c6945ad7b"
          },
          {
            "reference": "urn:uuid:66d6af10-3892-4166-8584-fcb55e6ce737"
          },
          {
            "reference": "urn:uuid:49ac826e-8c55-4028-8a37-d4153fcaf867"
          }
        ],
        "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:7e3811a1-4445-43ed-9aa7-153370428642"
            }
          }
        ],
        "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": "2019-04-17T08:42:07Z"
      }
    },
    {
      "fullUrl": "urn:uuid:ca1a2e21-a9ef-437d-9ad6-dd580b10172b",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "ca1a2e21-a9ef-437d-9ad6-dd580b10172b",
        "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: ca1a2e21-a9ef-437d-9ad6-dd580b10172b</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:01d7b2c1-5a6c-4298-ae8b-131c6945ad7b"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:01d7b2c1-5a6c-4298-ae8b-131c6945ad7b",
      "resource": {
        "resourceType": "Practitioner",
        "id": "01d7b2c1-5a6c-4298-ae8b-131c6945ad7b",
        "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": "4aadf441-e301-4dee-8a45-64bffd228bbf"
          }
        ],
        "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": "2019-04-17T08:42:07Z"
}