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                "title": "Chemistry"
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            "text": {
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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 mild hypoglycemia, significantly elevated creatinine suggesting impaired renal function, low total CO₂ indicating possible metabolic acidosis, and mildly elevated ALT, which may reflect mild liver involvement. Other parameters are within normal limits. Renal function and acid-base status require urgent clinical correlation and further evaluation.</td></tr></table></div>"
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          "display": "Aniela Prażmo"
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              "code": "TRAIN"
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              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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            "system": "http://local.setting.eu/identifier",
            "value": "ab00158c-e2d0-01e4-6cf5-730949937551"
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        "name": [
          {
            "family": "Prażmo"
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          {
            "given": [
              "Aniela"
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          },
          {
            "text": "Aniela Prażmo"
          }
        ],
        "address": [
          {
            "line": [
              "pl. Kołłątaja 62/43"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "97-200",
            "city": "Tomaszów Mazowiecki",
            "country": "Poland"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+48 782 809 233"
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        ],
        "extension": [
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              "coding": [
                {
                  "code": "PL",
                  "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>Aniela Prażmo</td><td>female</td><td>08-Feb-1941</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1941-02-08"
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    {
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        "resourceType": "ServiceRequest",
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        "reasonCode": [
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            "coding": [
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                "code": "64859006",
                "system": "http://snomed.info/sct",
                "display": "Osteoporosis"
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            ]
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          {
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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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            ]
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          {
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                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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          {
            "coding": [
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                "code": "40055000",
                "system": "http://snomed.info/sct",
                "display": "Chronic sinusitis"
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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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          ]
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        "subject": {
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        "meta": {
          "profile": [
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 95b930cc-4e0d-4bf6-9fce-1ba989a9cab0</div>"
        },
        "organization": {
          "reference": "urn:uuid:8b6d3441-d30e-42f1-a93f-f649942e437d"
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        "resourceType": "Organization",
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        "identifier": [
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          {
            "city": "Tomaszów Mazowiecki",
            "postalCode": "97-200",
            "country": "Poland"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Poradnia rehabilitacyjna</div>"
        },
        "name": "Poradnia rehabilitacyjna"
      }
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        },
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        "text": {
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        },
        "type": {
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              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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        "text": {
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        },
        "type": {
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              "system": "http://snomed.info/sct",
              "display": "Acellular blood (serum or plasma) specimen"
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        "collection": {
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        "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>Serum specimen</td><td><span class=\"nb\">16-Jun-2025</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "119364003",
              "system": "http://snomed.info/sct",
              "display": "Serum specimen"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:246cce38-4143-44ad-b5fc-a937ad482323",
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            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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        ],
        "code": {
          "coding": [
            {
              "code": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
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          ],
          "text": "Glucose [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 65.9,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 70,
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              "system": "http://unitsofmeasure.org"
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          },
          {
            "high": {
              "value": 140,
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              "system": "http://unitsofmeasure.org"
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            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
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            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>16-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>65.9</td><td>70 - 140</td><td>L</td><td>mg/dL</td></tr></table></div>"
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        "status": "final",
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        "specimen": {
          "reference": "urn:uuid:a88a6369-dfc9-4b02-9b1b-865e2d8b23e5"
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    {
      "fullUrl": "urn:uuid:8f81c249-6788-447c-b250-5a768ca83692",
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        ],
        "code": {
          "coding": [
            {
              "code": "6299-2",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 13.5,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
          {
            "low": {
              "value": 7,
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              "system": "http://unitsofmeasure.org"
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          },
          {
            "high": {
              "value": 20,
              "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>16-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>13.5</td><td>7 - 20</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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    {
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        ],
        "code": {
          "coding": [
            {
              "code": "38483-4",
              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Blood"
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          ],
          "text": "Creatinine [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 3,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.6,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          },
          {
            "high": {
              "value": 1.3,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        "interpretation": [
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            "coding": [
              {
                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>16-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>3.0</td><td>0.6 - 1.3</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2025-06-16T13:25:25Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:dcfcde7e-b15b-4ccf-b3ba-3ff60cb27c01",
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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        ],
        "code": {
          "coding": [
            {
              "code": "49765-1",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Blood"
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          ],
          "text": "Calcium [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 8.7,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 8.5,
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              "system": "http://unitsofmeasure.org"
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          },
          {
            "high": {
              "value": 10.5,
              "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>16-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.7</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
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        "status": "final",
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        "effectiveDateTime": "2025-06-16T13:25:25Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:281dfcc8-918f-494d-b2f7-1912604297f9",
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        "id": "281dfcc8-918f-494d-b2f7-1912604297f9",
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        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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        ],
        "code": {
          "coding": [
            {
              "code": "2947-0",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
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          ],
          "text": "Sodium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 139.7,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 135,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 145,
              "code": "mmol/L",
              "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>16-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.7</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:62712aa1-9d72-44ca-9f42-f64d8083f081",
          "display": "Aniela Prażmo"
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        "effectiveDateTime": "2025-06-16T13:25:25Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:8c12874f-64dc-4d72-b2b6-50039791a17a",
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        "id": "8c12874f-64dc-4d72-b2b6-50039791a17a",
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        ],
        "category": [
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            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
            }
          ],
          "text": "Potassium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4.2,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 3.6,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 5.1,
              "code": "mmol/L",
              "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>16-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.2</td><td>3.6 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:62712aa1-9d72-44ca-9f42-f64d8083f081",
          "display": "Aniela Prażmo"
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        "effectiveDateTime": "2025-06-16T13:25:25Z",
        "specimen": {
          "reference": "urn:uuid:a88a6369-dfc9-4b02-9b1b-865e2d8b23e5"
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      }
    },
    {
      "fullUrl": "urn:uuid:56011128-549d-49b5-aed5-4877fe9a85d8",
      "resource": {
        "resourceType": "Observation",
        "id": "56011128-549d-49b5-aed5-4877fe9a85d8",
        "meta": {
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        },
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
            }
          ],
          "text": "Chloride [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 102.9,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 98,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 107,
              "code": "mmol/L",
              "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>16-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>102.9</td><td>98 - 107</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:62712aa1-9d72-44ca-9f42-f64d8083f081",
          "display": "Aniela Prażmo"
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        "effectiveDateTime": "2025-06-16T13:25:25Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:eb1385bc-42cf-4b4b-b7be-370a21ca1678",
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        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "20565-8",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 20.4,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
          {
            "low": {
              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 32,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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        ],
        "interpretation": [
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            "coding": [
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                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
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            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>16-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>20.4</td><td>22 - 32</td><td>L</td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Aniela Prażmo"
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        "effectiveDateTime": "2025-06-16T13:25:25Z",
        "specimen": {
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      "fullUrl": "urn:uuid:d5b81cc5-3130-4ac7-b574-5f61fb05b04e",
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        },
        "performer": [
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        ],
        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2885-2",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Protein [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 6.5,
          "unit": "g/dL",
          "code": "g/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 6,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
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          },
          {
            "high": {
              "value": 8.3,
              "code": "g/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>16-Jun-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.5</td><td>6 - 8.3</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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        "effectiveDateTime": "2025-06-16T13:25:25Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:56d7766d-6714-412c-8275-096d9866dd31",
      "resource": {
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "1751-7",
              "system": "http://loinc.org",
              "display": "Albumin [Mass/volume] in Serum or Plasma"
            }
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          "text": "Albumin [Mass/volume] in Serum or Plasma"
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            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
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        ],
        "version": [
          {
            "value": "5.0"
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        ],
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          "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:2426a95d-6d8c-4a39-b998-9106f656d094",
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        "id": "2426a95d-6d8c-4a39-b998-9106f656d094",
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          {
            "reference": "Bundle/ed55551a-c447-4df9-85d7-dd5647dd5cc1"
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          {
            "reference": "Composition/f2f25599-f8e4-49ec-8f80-feb667f95712"
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          {
            "reference": "Organization/8b6d3441-d30e-42f1-a93f-f649942e437d"
          }
        ],
        "activity": {
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "text": "author"
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            "who": {
              "reference": "Device/4bb611c5-2835-44c8-ab95-23c94a87f680"
            }
          }
        ],
        "reason": [
          {
            "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": "2025-06-16T15:25:25Z"
      }
    },
    {
      "fullUrl": "urn:uuid:9b4bdbfa-18f8-4390-8985-8ffa91f07505",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "9b4bdbfa-18f8-4390-8985-8ffa91f07505",
        "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: 9b4bdbfa-18f8-4390-8985-8ffa91f07505</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:4c018316-1442-4f24-992a-8b7fd004e4b7"
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    {
      "fullUrl": "urn:uuid:4c018316-1442-4f24-992a-8b7fd004e4b7",
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        "resourceType": "Practitioner",
        "id": "4c018316-1442-4f24-992a-8b7fd004e4b7",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu"
          ]
        },
        "identifier": [
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            "assigner": {
              "display": "HL7 Europe"
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            "value": "74feaf54-85fb-41f6-ae33-9b0bd6c5a7c5"
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        "name": [
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            "given": [
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            "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": "2025-06-16T15:25:25Z"
}