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                  "display": "Laboratory studies (set)"
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                  "coding": [
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                      "code": "18723-7",
                      "system": "http://loinc.org",
                      "display": "Hematology studies (set)"
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                  "text": "Hematology"
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                  {
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                    "reference": "urn:uuid:3db14edf-642a-4125-82ad-b5937a9baa9b"
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                    "reference": "urn:uuid:561cbfb2-48f0-4e93-a849-3ae43626a520"
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                  {
                    "reference": "urn:uuid:b4fa150e-00f5-40e0-b6b6-06f6d0b3f8a3"
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                  {
                    "reference": "urn:uuid:c2677380-250a-475b-abc5-01991199b683"
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                  {
                    "reference": "urn:uuid:dd4ab858-471c-4459-904f-4adb0ac9fd56"
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                "text": {
                  "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>14-MAY-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>5.4</td><td>4.0 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>5.1</td><td>4.3 - 5.7</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>16.2</td><td>13.5 - 17.5</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>41.9</td><td>37 - 49</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>88.5</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>31.5</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td>34.3</td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte distribution width [Entitic volume] by Automated count</td><td>45.8</td><td>36 - 48</td><td>fL</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>412.4</td><td>150 - 450</td><td>10*3/uL</td></tr><tr><td>Platelet distribution width [Entitic volume] in Blood by Automated count</td><td><strong>341.6 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>11.5</td><td>7.2 - 11.5</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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                "entry": [
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                    "reference": "urn:uuid:0dcdcad4-b7dd-450b-9734-165188f4a37d"
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                    "reference": "urn:uuid:abff326b-8fc0-45ce-ab25-c4cd3d87aa58"
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                    "reference": "urn:uuid:1517f5ff-ff3d-4f07-8ae3-a636fda1bc63"
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                  {
                    "reference": "urn:uuid:77a822dd-9b41-4914-bde6-3382e9982a19"
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                  {
                    "reference": "urn:uuid:c74d68cc-945a-421c-959e-5b667ad1f005"
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                  {
                    "reference": "urn:uuid:78ae63a6-eef2-4bfe-9e88-0b9220f700cb"
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                  {
                    "reference": "urn:uuid:5140c09f-4aea-4ba1-951c-d731f200b3f8"
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                  {
                    "reference": "urn:uuid:d3078493-cc54-477b-9c6c-dce7816da924"
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                  {
                    "reference": "urn:uuid:7c17f116-a302-447e-9e3f-2b0fb5162c3a"
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                  {
                    "reference": "urn:uuid:d090758e-3368-4cb8-b6ec-4abd849060d0"
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                  {
                    "reference": "urn:uuid:004c3dda-d3e6-4699-b8c3-08199a475ec9"
                  },
                  {
                    "reference": "urn:uuid:20de80a6-ec98-41b2-a797-11edab430670"
                  },
                  {
                    "reference": "urn:uuid:b9139c1e-3e03-4aef-a0fe-a0b5b95ca891"
                  },
                  {
                    "reference": "urn:uuid:642e02f1-f6e2-47f0-8cc3-756061844807"
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                  {
                    "reference": "urn:uuid:b6b7ec6b-6ec0-4f7b-a5fb-b5ce721614c8"
                  },
                  {
                    "reference": "urn:uuid:4c0c3b42-5b04-4091-be1e-81ac788d8f7f"
                  },
                  {
                    "reference": "urn:uuid:8460d38a-2400-47db-b66e-c3a467b55678"
                  },
                  {
                    "reference": "urn:uuid:21234f6a-50d3-43f5-bede-eef00de107d0"
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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>14-MAY-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>94.2</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>10.0</td><td>7 - 18</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>9.0</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>141.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.9</td><td>3.5 - 5.0</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>105.0</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>27.6</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>3.0 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>94.2</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>10.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>4.1 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.0</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>141.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.9</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>105.0</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>27.6</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"
                },
                "entry": [
                  {
                    "reference": "urn:uuid:258d02f5-ca83-40b7-9aa2-4e21c13eaa6b"
                  },
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                    "reference": "urn:uuid:943c067d-a467-4feb-ba97-219bbb56a85a"
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                  {
                    "reference": "urn:uuid:30c74e21-1abc-4fff-bc12-892463cabcbc"
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                  {
                    "reference": "urn:uuid:cb737bcd-72d7-4c74-8957-0539c22b2a64"
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                  {
                    "reference": "urn:uuid:b90d4702-0882-4a27-934c-42383c31ef0d"
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                  {
                    "reference": "urn:uuid:93d03079-757d-47da-b814-1cfcdc2c480d"
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                  {
                    "reference": "urn:uuid:b7f2aaf2-ee3d-4c45-b937-476e51beac25"
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                  {
                    "reference": "urn:uuid:a11d76f7-b8e8-44be-88b9-9d9df1ddc82f"
                  },
                  {
                    "reference": "urn:uuid:9411fb4b-bb27-408a-be47-6b41709cacc5"
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                  {
                    "reference": "urn:uuid:85956a76-3a1d-4f27-b290-21b5545e7c09"
                  },
                  {
                    "reference": "urn:uuid:8e779e4a-e6c9-4da6-a95c-d606395c47d8"
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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>14-MAY-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td><strong>0.9 H</strong></td><td>0 - 0</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>0.5</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>15.9 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><strong>5.1 L</strong></td><td>5.5 - 7.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>222.9 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": [
                    {
                      "code": "LP7846-1",
                      "system": "http://loinc.org",
                      "display": "Specimen information"
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                  ],
                  "text": "Specimen information"
                },
                "entry": [
                  {
                    "reference": "urn:uuid:8988ea39-9aa7-4011-9f9f-a3186c9c5490"
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                  {
                    "reference": "urn:uuid:1a75c91b-8937-4296-ba36-d000b6801e4f"
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                    "reference": "urn:uuid:14760302-c289-4165-aad5-816fc1e992c7"
                  },
                  {
                    "reference": "urn:uuid:6421461d-4c76-46ed-a3f7-916feaff6841"
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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>14-MAY-2017</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 markedly elevated creatinine, significant proteinuria, glycosuria, and ketonuria, with low urine specific gravity and acidic pH, suggesting impaired renal function, likely acute or chronic kidney disease with possible tubular dysfunction. Hemoglobin A1c is low, arguing against chronic hyperglycemia. Urine is cloudy and brown, but no evidence of infection or hematuria. Recommend urgent nephrology evaluation for further assessment and management.</td></tr></table></div>"
            },
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                  "display": "Annotation comment [Interpretation] Narrative"
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            "title": "Annotation comment"
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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:071eadb0-4288-4f94-96f0-c5e457e9c3d0",
          "display": "Atenulf Sorrentino"
        },
        "date": "2017-05-14T22:37:19Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
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        "category": [
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        "specimen": [
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          "value": 9,
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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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        "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": {
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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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        "text": {
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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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          "value": 10,
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        "text": {
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              "display": "Creatinine [Mass/volume] in Blood"
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          "text": "Creatinine [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 4.1,
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              "code": "49765-1",
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              "display": "Calcium [Mass/volume] in Blood"
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          "text": "Calcium [Mass/volume] in Blood"
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        "valueQuantity": {
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              "display": "Sodium [Moles/volume] in Blood"
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          "text": "Sodium [Moles/volume] in Blood"
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          "value": 141.2,
          "unit": "mmol/L",
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              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
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          ],
          "text": "Potassium [Moles/volume] in Blood"
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          "value": 4.9,
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              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
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          ],
          "text": "Chloride [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 105,
          "unit": "mmol/L",
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              "value": 107,
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        ],
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              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
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          "value": 27.6,
          "unit": "mmol/L",
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              "display": "Leukocytes [#/volume] in Blood by Automated count"
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          ],
          "text": "Leukocytes [#/volume] in Blood by Automated count"
        },
        "valueQuantity": {
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          "value": 5.4,
          "unit": "10*3/uL",
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            },
            "high": {
              "value": 11,
              "code": "10*3/uL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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          "text": "Platelet distribution width [Entitic 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": {
          "system": "http://unitsofmeasure.org",
          "value": 11.5,
          "unit": "fL",
          "code": "fL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 7.2,
              "code": "fL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 11.5,
              "code": "fL",
              "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>14-May-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td>11.5</td><td>7.2 - 11.5</td><td></td><td>fL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:071eadb0-4288-4f94-96f0-c5e457e9c3d0",
          "display": "Atenulf Sorrentino"
        },
        "effectiveDateTime": "2017-05-14T20:37:19Z",
        "specimen": {
          "reference": "urn:uuid:482ae3c1-a869-4ac4-a7f7-d118c91f469c"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:66088680-a515-4616-9b75-a606ed98d442",
      "resource": {
        "resourceType": "Device",
        "id": "66088680-a515-4616-9b75-a606ed98d442",
        "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:d07b4de0-9242-4eaa-883b-212eb5c82c2e",
      "resource": {
        "resourceType": "Provenance",
        "id": "d07b4de0-9242-4eaa-883b-212eb5c82c2e",
        "target": [
          {
            "reference": "urn:uuid:071eadb0-4288-4f94-96f0-c5e457e9c3d0"
          },
          {
            "reference": "urn:uuid:98b10401-8819-4201-8150-3fa81c253c9d"
          },
          {
            "reference": "urn:uuid:6b66be80-7823-43cb-a571-1e68d48f2c6d"
          },
          {
            "reference": "urn:uuid:0ac43c27-3cfe-4db0-8257-6a93c9f6e0da"
          },
          {
            "reference": "urn:uuid:cd21210a-4b10-4dfe-be38-711579db421e"
          },
          {
            "reference": "urn:uuid:692dadc5-d12a-4c40-aa01-b5e4ca47bbab"
          }
        ],
        "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:66088680-a515-4616-9b75-a606ed98d442"
            }
          }
        ],
        "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": "2017-05-14T22:37:19Z"
      }
    },
    {
      "fullUrl": "urn:uuid:6b66be80-7823-43cb-a571-1e68d48f2c6d",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "6b66be80-7823-43cb-a571-1e68d48f2c6d",
        "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: 6b66be80-7823-43cb-a571-1e68d48f2c6d</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:0ac43c27-3cfe-4db0-8257-6a93c9f6e0da"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0ac43c27-3cfe-4db0-8257-6a93c9f6e0da",
      "resource": {
        "resourceType": "Practitioner",
        "id": "0ac43c27-3cfe-4db0-8257-6a93c9f6e0da",
        "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": "27ab2090-02a1-4f78-b172-7c16d4fff103"
          }
        ],
        "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": "2017-05-14T22:37:19Z"
}