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        "section": [
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            "code": {
              "coding": [
                {
                  "code": "26436-6",
                  "system": "http://loinc.org",
                  "display": "Laboratory studies (set)"
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              ],
              "text": "Laboratory studies"
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            "section": [
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                "code": {
                  "coding": [
                    {
                      "code": "$18719-5",
                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
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                  ],
                  "text": "Chemistry"
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                "entry": [
                  {
                    "reference": "urn:uuid:d36fc568-8ed5-40b5-a1fb-cf8e876d53ff"
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                  {
                    "reference": "urn:uuid:4981b063-875c-45bb-b80e-e31e91e4e7c4"
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                    "reference": "urn:uuid:24d1c5ab-53a9-4c90-8976-464be8b401b5"
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                    "reference": "urn:uuid:399369e9-7e38-4376-9f55-bca3b7623c74"
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                    "reference": "urn:uuid:dd37d9e1-4023-41e8-bf16-00e6e7be5414"
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                    "reference": "urn:uuid:6de30cb8-2d8c-44fe-8a54-996fcd4a76dc"
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                  {
                    "reference": "urn:uuid:7644b1a7-e72f-4ded-bf4c-8e6575d208d3"
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                  {
                    "reference": "urn:uuid:664bc2c5-5a19-47e9-be4b-dfd407210f91"
                  },
                  {
                    "reference": "urn:uuid:e730033b-11d5-48c1-9347-606244abce5c"
                  },
                  {
                    "reference": "urn:uuid:03bb3a3a-54b9-4648-b0be-0920f017a9b6"
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                    "reference": "urn:uuid:20a3ddcf-e58f-4abc-baf2-ad40c73892c7"
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                  {
                    "reference": "urn:uuid:eefa7bd9-31e1-4ffb-b20b-d846f061df96"
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                    "reference": "urn:uuid:a7f59f16-f4b6-4f42-bc44-c75e2a088cd7"
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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-MAR-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>97.7</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 - 50</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.9 H</strong></td><td>0.6 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.7</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.3</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.7</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>105.1</td><td>98 - 108</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>25.8</td><td>22 - 32</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>Cholesterol [Mass/volume] in Serum or Plasma</td><td>166.6</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>103.4</td><td>10 - 175</td><td>mg/dL</td></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>91.9</td><td>0 - 130</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>54.0</td><td>40 - 100</td><td>mg/dL</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
                "code": {
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                      "code": "$18729-4",
                      "system": "http://loinc.org",
                      "display": "Urinalysis studies (set)"
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                  "text": "Urinalysis"
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                "entry": [
                  {
                    "reference": "urn:uuid:834dfb47-f44e-4a81-86cc-5b95d90b55d0"
                  },
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                    "reference": "urn:uuid:fff482e2-9fd2-43aa-9740-51c4d2d521da"
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                    "reference": "urn:uuid:563a90a1-3804-49eb-95e2-9bf9cab8d459"
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                    "reference": "urn:uuid:30acfa51-e470-4d6f-95be-6ee32d82440c"
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                    "reference": "urn:uuid:dd78a4c4-e56d-4109-a0e9-44981c79961d"
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                    "reference": "urn:uuid:505e7c22-7329-4b6f-a094-6dcec3fa662f"
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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-MAR-2022</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>2.4 H</strong></td><td>0.8 - 0</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>0.9</td><td>0 - 1</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>18.3</td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.01 - 1.03</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>6.6</td><td>4.6 - 7</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>157.5 H</strong></td><td>0 - 15</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"
              },
              {
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                      "system": "http://loinc.org",
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                  ],
                  "text": "Specimen information"
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                "entry": [
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                    "reference": "urn:uuid:13499f04-3a6d-4b22-9d29-5ad1909e75d8"
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                    "reference": "urn:uuid:941c02b5-8657-4f55-908c-38fada02d661"
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                    "reference": "urn:uuid:897c4a2a-a6f8-4d86-af24-383faee229de"
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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-MAR-2022</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 elevated serum creatinine, indicating impaired renal function. Urinalysis reveals significant proteinuria, glucosuria, low specific gravity, and presence of ketones, suggesting possible diabetic nephropathy or another renal pathology. No evidence of urinary tract infection is seen. The urine&quot;s abnormal appearance and color further support renal involvement. Recommend clinical correlation and further nephrological evaluation.</td></tr></table></div>"
            },
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              "coding": [
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                  "system": "http://loinc.org",
                  "code": "48767-8",
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        ],
        "status": "final",
        "subject": {
          "reference": "urn:uuid:83b3c62c-87f5-42f4-ba04-99ec8dc6afa0",
          "display": "Marthe Gallet"
        },
        "date": "2022-03-17T20:05:43Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
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            "reference": "urn:uuid:eefa7bd9-31e1-4ffb-b20b-d846f061df96"
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            "reference": "urn:uuid:a7f59f16-f4b6-4f42-bc44-c75e2a088cd7"
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        "status": "registered",
        "code": {
          "coding": [
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              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
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        },
        "subject": {
          "reference": "urn:uuid:83b3c62c-87f5-42f4-ba04-99ec8dc6afa0",
          "display": "Marthe Gallet"
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      "resource": {
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        "id": "83b3c62c-87f5-42f4-ba04-99ec8dc6afa0",
        "meta": {
          "security": [
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              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "PT",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "9444-947487-6"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "854228d5-a476-2d9c-a1d7-c3202375a617"
          }
        ],
        "name": [
          {
            "family": "Gallet"
          },
          {
            "given": [
              "Marthe"
            ]
          },
          {
            "text": "Marthe Gallet"
          }
        ],
        "address": [
          {
            "line": [
              "3, rue Emmanuel Goncalves"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "49490",
            "city": "Briand",
            "country": "France"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+33 1 70 99 82 74"
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality",
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "FR",
                  "system": "http://hl7.org/fhir/ValueSet/country"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Marthe Gallet</td><td>female</td><td>29-Oct-1950</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1950-10-29"
      }
    },
    {
      "fullUrl": "urn:uuid:1c17cdd2-9603-4e3e-87ad-c36d6323a5e6",
      "resource": {
        "resourceType": "ServiceRequest",
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          {
            "reference": "urn:uuid:06f48236-821b-421f-be64-f051fbf6b751"
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "90781000119102",
                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
          }
        ],
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          ]
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              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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          "text": "Protein [Mass/volume] in Urine by Test strip"
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          "text": "Hemoglobin [Presence] in Urine by Test strip"
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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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        "code": {
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              "code": "2093-3",
              "system": "http://loinc.org",
              "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": 166.6,
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              "code": "2571-8",
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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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        "valueQuantity": {
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          "value": 103.4,
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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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          "value": 91.9,
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              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
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        ],
        "text": {
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          {
            "reference": "Organization/68ffcea2-1fd5-4145-8948-1a25757d9a27"
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        ],
        "activity": {
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        "policy": [
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        "agent": [
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          }
        ],
        "reason": [
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            "text": "Interoperability Testing and Training (non-clinical use)"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2022-03-17T20:05:43Z"
      }
    },
    {
      "fullUrl": "urn:uuid:af089fd0-28d3-4865-8580-8dfa1b926828",
      "resource": {
        "resourceType": "PractitionerRole",
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          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: af089fd0-28d3-4865-8580-8dfa1b926828</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:15a3363c-d19c-4168-8a13-dd373db6d1d0"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:15a3363c-d19c-4168-8a13-dd373db6d1d0",
      "resource": {
        "resourceType": "Practitioner",
        "id": "15a3363c-d19c-4168-8a13-dd373db6d1d0",
        "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": "5050b318-1de4-4772-88c6-6ca07470b242"
          }
        ],
        "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": "2022-03-17T20:05:43Z"
}