{
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          "coding": [
            {
              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
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          "text": "Laboratory Report"
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        "section": [
          {
            "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": [
              {
                "code": {
                  "coding": [
                    {
                      "code": "$18719-5",
                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
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                  ],
                  "text": "Chemistry"
                },
                "entry": [
                  {
                    "reference": "urn:uuid:f8095f77-f86f-4b29-a24b-1a417bd48c2a"
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                  {
                    "reference": "urn:uuid:e3a958de-111b-4998-872f-505ba86c42e8"
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                  {
                    "reference": "urn:uuid:07c4807d-8d5b-4db4-9f87-d1a4816c73d4"
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                  {
                    "reference": "urn:uuid:d5dc52c2-b6ac-4ecb-b95a-939703b6d203"
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                  {
                    "reference": "urn:uuid:15b1e35b-d5a9-45c9-a7f0-d39020694dcf"
                  },
                  {
                    "reference": "urn:uuid:c20391be-3d72-4cb2-9603-9dcd72083f88"
                  },
                  {
                    "reference": "urn:uuid:d0695955-ca55-4f1a-922e-cc22f0f4bece"
                  },
                  {
                    "reference": "urn:uuid:2b36a228-566f-4a11-bd4c-d60e0bef1641"
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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>19-DEC-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>86.5</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>7.7</td><td>7 - 50</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.7 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>9.3</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>138.8</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>3.8</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>101.7</td><td>98 - 108</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>23.0</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = trace</td><td></td><td></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": [
                  {
                    "reference": "urn:uuid:5bdbab54-af58-41fb-8fcb-10d84f9d5f16"
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                    "reference": "urn:uuid:ccbcd73b-f800-4eb7-862f-9531ca3c9bbd"
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                  {
                    "reference": "urn:uuid:4e1955dc-a153-418f-9622-784345ea679e"
                  },
                  {
                    "reference": "urn:uuid:138f08aa-7db4-4009-a864-858754295033"
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                  {
                    "reference": "urn:uuid:78dde260-ac7a-44b0-95b6-b30989fcdc94"
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                  {
                    "reference": "urn:uuid:1688476b-98c3-4cb4-9efc-4774f8a8b482"
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                  {
                    "reference": "urn:uuid:7231954b-56b8-4851-b50b-d87e2a7f2d61"
                  },
                  {
                    "reference": "urn:uuid:a159843a-f5e4-430c-9293-b4a2928c560e"
                  },
                  {
                    "reference": "urn:uuid:16cca1c9-9a89-4dfa-9882-c48417b2292a"
                  },
                  {
                    "reference": "urn:uuid:aa2438e3-b07a-4e3c-808c-b2e9c83b410a"
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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>19-DEC-2019</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>1.1 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>6.7</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>6.9</td><td>4.6 - 7</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>93.1 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"
              },
              {
                "code": {
                  "coding": [
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                      "code": "$LP7846-1",
                      "system": "http://loinc.org",
                      "display": "Specimen information"
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                  ],
                  "text": "Specimen information"
                },
                "entry": [
                  {
                    "reference": "urn:uuid:0a1c621f-65e0-408e-b51e-a1265c4dfd1f"
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                    "reference": "urn:uuid:636645b6-3d7a-4dd7-9d48-e6374a8131de"
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                  {
                    "reference": "urn:uuid:7f369c27-de0f-402a-b5db-badc1be82ecc"
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                    "reference": "urn:uuid:35bc8304-3f15-4863-995c-436819ee0327"
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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>19-DEC-2019</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>Renal function is impaired as indicated by elevated serum creatinine. Urinalysis shows proteinuria, glucosuria, low specific gravity, and abnormal urine appearance (cloudy, brown, ammoniacal), suggesting possible renal tubular dysfunction or chronic kidney disease. No evidence of urinary tract infection (negative nitrites, leukocytes, hemoglobin). Recommend further nephrological evaluation and monitoring of renal function.</td></tr></table></div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48767-8",
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        ],
        "status": "final",
        "subject": {
          "reference": "urn:uuid:c729ab77-86d6-4158-9080-7833b945a463",
          "display": "Marthe Gallet"
        },
        "date": "2019-12-19T20:05:43Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
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          {
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          {
            "reference": "urn:uuid:aa2438e3-b07a-4e3c-808c-b2e9c83b410a"
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        "status": "registered",
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              "display": "Laboratory report"
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        "subject": {
          "reference": "urn:uuid:c729ab77-86d6-4158-9080-7833b945a463",
          "display": "Marthe Gallet"
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              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          "tag": [
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              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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        },
        "identifier": [
          {
            "type": {
              "coding": [
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                  "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"
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          {
            "type": {
              "coding": [
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                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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              ]
            },
            "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:2b3b8719-11f4-400b-bfb6-c9cb3c1ad962",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "2b3b8719-11f4-400b-bfb6-c9cb3c1ad962",
        "meta": {
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        "identifier": [
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          {
            "reference": "urn:uuid:0c05bbde-8224-484b-85fa-8414a17093dd"
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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"
            }
          ]
        },
        "subject": {
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          "display": "Marthe Gallet"
        },
        "requester": {
          "reference": "urn:uuid:cb5f7594-2414-4c5b-98b9-23d6826650e7"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:cb5f7594-2414-4c5b-98b9-23d6826650e7",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "cb5f7594-2414-4c5b-98b9-23d6826650e7",
        "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: cb5f7594-2414-4c5b-98b9-23d6826650e7</div>"
        },
        "organization": {
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      "resource": {
        "resourceType": "Organization",
        "id": "e97e3c92-04f4-4b7f-88bf-b9a50cefe8b1",
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        "identifier": [
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            "assigner": {
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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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              "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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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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        "recorded": "2019-12-19T20:05:43Z"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: ea25e0f0-7091-4e54-a1cd-4f00c0ea559f</div>"
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              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
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            "country": "Belgium"
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}