{
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      "display": "HL7 Europe"
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        "resourceType": "Composition",
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            "display": "HL7 Europe"
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              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
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        },
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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": [
              {
                "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:d09b35d7-fc75-431b-b51c-b715e0fd92a5"
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                    "reference": "urn:uuid:b22644aa-9cc7-4e66-b83f-43294bed3be8"
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                    "reference": "urn:uuid:16194c97-6c66-46df-8b48-a88fe07d4818"
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                  {
                    "reference": "urn:uuid:2ed4fa28-a768-4707-a59e-4c26b7bccb4b"
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                  {
                    "reference": "urn:uuid:dee9b951-b560-4c27-ae62-c22cdcd00665"
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                  {
                    "reference": "urn:uuid:a8d0671b-2617-499d-8a99-d78d0885b591"
                  },
                  {
                    "reference": "urn:uuid:ba50f068-c66f-431c-b596-4822169de66f"
                  },
                  {
                    "reference": "urn:uuid:aa08252e-2a84-4ad3-bdbc-8d487737083f"
                  },
                  {
                    "reference": "urn:uuid:414e3f3d-dfda-4c4b-b46a-e33350078bd8"
                  },
                  {
                    "reference": "urn:uuid:bca0fda3-4504-4a41-a50b-e0ac6e6ed793"
                  },
                  {
                    "reference": "urn:uuid:4055a662-335c-490a-a918-1c8be685ecbf"
                  },
                  {
                    "reference": "urn:uuid:eca2e1f6-526f-4baf-9df4-38db2c2db755"
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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>27-JUL-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>85.7</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>7.8</td><td>7 - 30</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.4 H</strong></td><td>0.5 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.8</td><td>8.6 - 10.2</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>140.9</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>3.7</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>102.0</td><td>98 - 114</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>28.3</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>8.0</td><td>6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>3.7</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td>2.3</td><td>2 - 3.5</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.3</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>48.9</td><td>44 - 142</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>57.5 H</strong></td><td>7 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>28.4</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = +++</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"
                },
                "entry": [
                  {
                    "reference": "urn:uuid:79067a05-574f-4761-a378-4e9183c60c1c"
                  },
                  {
                    "reference": "urn:uuid:7b7c443b-dbab-4f2a-a010-c54878a8127c"
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                  {
                    "reference": "urn:uuid:0a2f1251-d12b-4e0d-a382-5de6da3a18b0"
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                    "reference": "urn:uuid:4ea7351b-aaf0-4137-8a31-480842ada28e"
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                  {
                    "reference": "urn:uuid:9c44faea-5828-43d4-ad65-2c702428b2b1"
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                  {
                    "reference": "urn:uuid:3c445863-1a67-46c6-88d1-39cb53910efe"
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                  {
                    "reference": "urn:uuid:f657a280-47ad-4a9f-9020-f97f7e08b9e6"
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                  {
                    "reference": "urn:uuid:688f9054-a9e9-4c67-a89f-a255c0675876"
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                  {
                    "reference": "urn:uuid:0058cdb9-d0d7-4dc2-b004-e0463afd5365"
                  },
                  {
                    "reference": "urn:uuid:10739b5b-2ded-467f-8804-b4af025be637"
                  },
                  {
                    "reference": "urn:uuid:085e92df-ca66-4499-aecf-d42dc0b5366c"
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                  {
                    "reference": "urn:uuid:837b9317-58a9-4bec-bb35-111b997e0404"
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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>27-JUL-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>0.7 L</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>1.0</td><td>0 - 1.5</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>18.3 H</strong></td><td>0 - 8</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>5.9</td><td>4.6 - 7.5</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>255.4 H</strong></td><td>0 - 14</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:418f05a6-101d-48f5-a701-3876d14976cb"
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                  {
                    "reference": "urn:uuid:01c8eced-cba8-4ed7-a8e6-98e24a0ae210"
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                    "reference": "urn:uuid:16e223c1-edef-4ad4-91bd-dd1491c355c7"
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                  {
                    "reference": "urn:uuid:cbd156f0-bee9-4470-8f96-2bab1066bfd7"
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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>27-JUL-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 serum creatinine, indicating significant renal impairment, and elevated ALT, suggesting possible liver involvement. Urinalysis reveals proteinuria, glucosuria, ketonuria, low specific gravity, and abnormal urine appearance, supporting renal dysfunction and possible metabolic derangement (e.g., diabetes or dehydration). No evidence of urinary tract infection. Recommend urgent clinical evaluation for acute or chronic kidney disease and metabolic assessment.</td></tr></table></div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48767-8",
                  "display": "Annotation comment"
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            "title": "Annotation comment"
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        ],
        "status": "final",
        "subject": {
          "reference": "urn:uuid:c64fde65-7c74-4cde-809a-f9c931c1c974",
          "display": "Maria Nohlmans"
        },
        "date": "2017-07-27T23:37:39Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
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    {
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        "resourceType": "DiagnosticReport",
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            "value": "afe4addd-7453-47c0-9f80-ef58c76d15fb"
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            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
            "valueReference": {
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        "category": [
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                "code": "26436-6",
                "system": "http://loinc.org",
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        "specimen": [
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            "reference": "urn:uuid:d22effce-b2b8-4e20-9ce1-d5bb4391dced"
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          {
            "reference": "urn:uuid:dea4bf4a-8c73-4f0b-85f0-d65893653f26"
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          {
            "reference": "urn:uuid:4736ff0d-55bc-45d2-ab90-4f8f1400e6b5"
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          {
            "reference": "urn:uuid:0a2f1251-d12b-4e0d-a382-5de6da3a18b0"
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            "reference": "urn:uuid:4ea7351b-aaf0-4137-8a31-480842ada28e"
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          {
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          {
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          {
            "reference": "urn:uuid:f657a280-47ad-4a9f-9020-f97f7e08b9e6"
          },
          {
            "reference": "urn:uuid:688f9054-a9e9-4c67-a89f-a255c0675876"
          },
          {
            "reference": "urn:uuid:0058cdb9-d0d7-4dc2-b004-e0463afd5365"
          },
          {
            "reference": "urn:uuid:10739b5b-2ded-467f-8804-b4af025be637"
          },
          {
            "reference": "urn:uuid:085e92df-ca66-4499-aecf-d42dc0b5366c"
          },
          {
            "reference": "urn:uuid:837b9317-58a9-4bec-bb35-111b997e0404"
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        ],
        "status": "registered",
        "code": {
          "coding": [
            {
              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:c64fde65-7c74-4cde-809a-f9c931c1c974",
          "display": "Maria Nohlmans"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:c64fde65-7c74-4cde-809a-f9c931c1c974",
      "resource": {
        "resourceType": "Patient",
        "id": "c64fde65-7c74-4cde-809a-f9c931c1c974",
        "meta": {
          "security": [
            {
              "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"
                }
              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "6886-506417-1"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "2cb21ed6-b617-b1f3-2290-589a710de5ee"
          }
        ],
        "name": [
          {
            "family": "Nohlmans"
          },
          {
            "given": [
              "Maria"
            ]
          },
          {
            "text": "Maria Nohlmans"
          }
        ],
        "address": [
          {
            "line": [
              "Alfons-Wulff-Weg 1"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "25813",
            "city": "Husum",
            "country": "Germany"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+49(0)1911 105501"
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality",
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "DE",
                  "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>Maria Nohlmans</td><td>female</td><td>11-Jun-1947</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1947-06-11"
      }
    },
    {
      "fullUrl": "urn:uuid:65745859-c418-4863-8934-5f4cf75787d9",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "65745859-c418-4863-8934-5f4cf75787d9",
        "meta": {
          "profile": [
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        "identifier": [
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        ],
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          {
            "reference": "urn:uuid:dea4bf4a-8c73-4f0b-85f0-d65893653f26"
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          {
            "reference": "urn:uuid:4736ff0d-55bc-45d2-ab90-4f8f1400e6b5"
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          "coding": [
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              "code": "34533-0",
              "system": "http://loinc.org",
              "display": "Odor of Urine"
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          ],
          "text": "Odor of Urine"
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          "coding": [
            {
              "code": "32167-9",
              "system": "http://loinc.org",
              "display": "Clarity of Urine"
            }
          ],
          "text": "Clarity of Urine"
        },
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              "code": "5778-6",
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              "display": "Color of Urine"
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          ],
          "text": "Color of Urine"
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              "display": "Glucose [Mass/volume] in Urine by Test strip"
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          "text": "Glucose [Mass/volume] in Urine by Test strip"
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          "value": 0.7,
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        },
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        "code": {
          "coding": [
            {
              "code": "25428-4",
              "system": "http://loinc.org",
              "display": "Glucose [Presence] in Urine by Test strip"
            }
          ],
          "text": "Glucose [Presence] in Urine by Test strip"
        },
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        },
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        "code": {
          "coding": [
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              "code": "20505-4",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 1,
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        ],
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        },
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            {
              "code": "5770-3",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Presence] in Urine by Test strip"
            }
          ],
          "text": "Bilirubin.total [Presence] in Urine by Test strip"
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        "text": {
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        },
        "status": "final",
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        "id": "9c44faea-5828-43d4-ad65-2c702428b2b1",
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        "code": {
          "coding": [
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              "code": "5797-6",
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              "display": "Ketones [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Ketones [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 18.3,
          "unit": "mg/dL",
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        "referenceRange": [
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              "code": "2514-8",
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              "display": "Ketones [Presence] in Urine by Test strip"
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          "text": "Ketones [Presence] in Urine by Test strip"
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              "display": "Specific gravity of Urine by Test strip"
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          "value": 1,
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        ],
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        "code": {
          "coding": [
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              "code": "5803-2",
              "system": "http://loinc.org",
              "display": "pH of Urine by Test strip"
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          ],
          "text": "pH of Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 5.9,
          "unit": "pH",
          "code": "pH"
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        "referenceRange": [
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          },
          {
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              "value": 7.5,
              "code": "pH",
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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>27-Jul-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>5.9</td><td>4.6 - 7.5</td><td></td><td>pH</td></tr></table></div>"
        },
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            ]
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        ],
        "code": {
          "coding": [
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              "code": "5804-0",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Protein [Mass/volume] in Urine by Test strip"
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              "code": "20454-5",
              "system": "http://loinc.org",
              "display": "Protein [Presence] in Urine by Test strip"
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          "text": "Protein [Presence] in Urine by Test strip"
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        },
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          "text": "Nitrite [Presence] in Urine by Test strip"
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              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>27-Jul-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td></tr></table></div>"
        },
        "status": "final",
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        "code": {
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            {
              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
            }
          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>27-Jul-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:c64fde65-7c74-4cde-809a-f9c931c1c974",
          "display": "Maria Nohlmans"
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        "effectiveDateTime": "2017-07-27T21:37:39Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:cf3171d5-0536-4a11-86ef-9ca11c12bb1b",
      "resource": {
        "resourceType": "Device",
        "id": "cf3171d5-0536-4a11-86ef-9ca11c12bb1b",
        "deviceName": [
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            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
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        ],
        "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"
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          {
            "reference": "Bundle/edf49b2a-4fbb-4791-8e2f-1a90341f88d9"
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            "reference": "PractitionerRole/291d30e8-4f5f-402d-abb5-cdbd44a0c427"
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          {
            "reference": "Organization/fffac135-04f6-4a1a-8f2b-93603879b87a"
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        ],
        "activity": {
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        "agent": [
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              "reference": "Device/cf3171d5-0536-4a11-86ef-9ca11c12bb1b"
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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": "2017-07-27T23:37:39Z"
      }
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    {
      "fullUrl": "urn:uuid:291d30e8-4f5f-402d-abb5-cdbd44a0c427",
      "resource": {
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        "id": "291d30e8-4f5f-402d-abb5-cdbd44a0c427",
        "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\">Laboratory Role Id: 291d30e8-4f5f-402d-abb5-cdbd44a0c427</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:42971373-38e6-413a-8775-fec30ee3c1fe"
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        ],
        "address": [
          {
            "line": [
              "Laboratoire Central Européenne",
              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
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  "type": "document",
  "timestamp": "2017-07-27T23:37:39Z"
}