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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>18-MAR-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>75.9</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>13.6</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.7 H</strong></td><td>0.5 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.2</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>143.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>3.8</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>108.1 H</strong></td><td>98 - 108</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.3</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.3</td><td>6 - 8.2</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>3.9</td><td>3.5 - 5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td>3.2</td><td>2 - 4</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>1.1</td><td>0.3 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>53.7</td><td>35 - 141</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>20.5</td><td>7 - 60</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>16.5</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>189.2</td><td>0 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>128.6</td><td>0 - 199</td><td>mg/dL</td></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>121.0</td><td>0 - 130</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>67.4</td><td>46 - 77</td><td>mg/dL</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
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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>Renal function is impaired, as indicated by elevated creatinine. Mild hyperchloremia is present. Other parameters, including glucose, electrolytes, liver enzymes, proteins, and lipid profile, are within normal limits. Recommend clinical correlation for renal impairment and consideration of underlying causes, especially given the patient&quot;s advanced age.</td></tr></table></div>"
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        "date": "2016-03-18T20:24:33Z",
        "title": "Laboratory Report",
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          "display": "Marlene Gerlach"
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              "code": "HTEST"
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              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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            "system": "http://local.setting.eu/identifier",
            "value": "ff7a4ff6-4bac-f07f-03c9-b91b1e1cfb23"
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        ],
        "name": [
          {
            "family": "Gerlach"
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          {
            "given": [
              "Marlene"
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          {
            "text": "Marlene Gerlach"
          }
        ],
        "address": [
          {
            "line": [
              "Etzlerplatz 57-53"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "71522",
            "city": "Backnang",
            "country": "Germany"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+49(0)2700 61724"
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        ],
        "extension": [
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            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "DE",
                  "system": "http://hl7.org/fhir/ValueSet/country"
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              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Marlene Gerlach</td><td>female</td><td>28-Aug-1939</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1939-08-28"
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    },
    {
      "fullUrl": "urn:uuid:80d2234e-dd30-4834-b33e-616f8c7580e7",
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          {
            "reference": "urn:uuid:6c5d2569-1daf-467f-b38c-dd264db72d4a"
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        "reasonCode": [
          {
            "coding": [
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                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
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            "coding": [
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                "code": "414545008",
                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
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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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                "code": "90781000119102",
                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
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            ]
          },
          {
            "coding": [
              {
                "code": "15777000",
                "system": "http://snomed.info/sct",
                "display": "Prediabetes"
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            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
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        ],
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
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              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          ]
        },
        "subject": {
          "reference": "urn:uuid:03e5b2f7-6f48-481a-a1b9-cc7b79fbee47",
          "display": "Marlene Gerlach"
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      }
    },
    {
      "fullUrl": "urn:uuid:df6cceeb-595b-4820-8537-60ea60b67535",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "df6cceeb-595b-4820-8537-60ea60b67535",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: df6cceeb-595b-4820-8537-60ea60b67535</div>"
        },
        "organization": {
          "reference": "urn:uuid:b0219aae-877d-4b39-9786-da685b0daaf6"
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        "id": "b0219aae-877d-4b39-9786-da685b0daaf6",
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "d97f2273-9c34-4276-bae1-99bad5eee861"
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        ],
        "address": [
          {
            "line": [
              "Karl-Krische-Straße 4"
            ],
            "city": "Backnang",
            "postalCode": "71522",
            "country": "Germany"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Gesundheitszentrum</div>"
        },
        "name": "Gesundheitszentrum"
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    },
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        },
        "collection": {
          "collectedDateTime": "2016-03-18"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Whole blood specimen (specimen)</td><td><span class=\"nb\">18-Mar-2016</span></td></tr></table></div>"
        },
        "type": {
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              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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          ]
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          ]
        },
        "collection": {
          "collectedDateTime": "2016-03-18"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Acellular blood (serum or plasma) specimen</td><td><span class=\"nb\">18-Mar-2016</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122592007",
              "system": "http://snomed.info/sct",
              "display": "Acellular blood (serum or plasma) specimen"
            }
          ]
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          {
            "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:4d1dbe76-71d1-4e1a-b60f-ee88f6041c31",
      "resource": {
        "resourceType": "Provenance",
        "id": "4d1dbe76-71d1-4e1a-b60f-ee88f6041c31",
        "target": [
          {
            "reference": "Patient/03e5b2f7-6f48-481a-a1b9-cc7b79fbee47"
          },
          {
            "reference": "Bundle/52943929-1d7d-4cf4-958f-a0e7d65e411a"
          },
          {
            "reference": "Composition/1bd227d0-8da4-473f-aaa6-7b79e5aab0da"
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          {
            "reference": "PractitionerRole/353ad859-d65e-4848-bb88-8dd92088d175"
          },
          {
            "reference": "Practitioner/abcbbc67-56ef-4430-99a3-ddc6245e8374"
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          {
            "reference": "PractitionerRole/df6cceeb-595b-4820-8537-60ea60b67535"
          },
          {
            "reference": "Organization/b0219aae-877d-4b39-9786-da685b0daaf6"
          }
        ],
        "activity": {
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "text": "author"
            },
            "who": {
              "reference": "Device/3d39c6e6-1769-445b-95c8-36b857f94b60"
            }
          }
        ],
        "reason": [
          {
            "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": "2016-03-18T20:24:33Z"
      }
    },
    {
      "fullUrl": "urn:uuid:353ad859-d65e-4848-bb88-8dd92088d175",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "353ad859-d65e-4848-bb88-8dd92088d175",
        "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: 353ad859-d65e-4848-bb88-8dd92088d175</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:abcbbc67-56ef-4430-99a3-ddc6245e8374"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:abcbbc67-56ef-4430-99a3-ddc6245e8374",
      "resource": {
        "resourceType": "Practitioner",
        "id": "abcbbc67-56ef-4430-99a3-ddc6245e8374",
        "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": "bc5c01c4-52e8-496d-ba11-01d1971b7e8c"
          }
        ],
        "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": "2016-03-18T20:24:33Z"
}