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                      "code": "$18723-7",
                      "system": "http://loinc.org",
                      "display": "Hematology studies (set)"
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                  ],
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Hematology</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>17-JUL-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>5.1</td><td>4 - 11</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>4.2</td><td>3.9 - 5.2</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>12.8</td><td>12 - 15.5</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>48.7</td><td>38 - 54</td><td>%</td></tr><tr><td>MCV [Entitic volume] by Automated count</td><td>91.4</td><td>78 - 98</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>30.7</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Mass/volume] by Automated count</td><td>33.2</td><td>31 - 35</td><td>g/dL</td></tr><tr><td>Erythrocyte distribution width [Entitic volume] by Automated count</td><td>44.4</td><td>36 - 56</td><td>fL</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>216.8</td><td>150 - 450</td><td>10*3/uL</td></tr><tr><td>Platelet distribution width [Entitic volume] in Blood by Automated count</td><td><strong>453.8 H</strong></td><td>15.5 - 450</td><td>fL</td></tr><tr><td>Platelet mean volume [Entitic volume] in Blood by Automated count</td><td>11.9</td><td>7.2 - 13.5</td><td>fL</td></tr></tbody></table></div>"
                },
                "title": "Hematology"
              },
              {
                "code": {
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                      "code": "$18719-5",
                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
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                  {
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                    "reference": "urn:uuid:9d4f8627-bdc6-48fa-93c2-eb07297185ab"
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                    "reference": "urn:uuid:75956817-6cdc-4e13-947c-bbbfb903cb63"
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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-JUL-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>75.3</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>12.5</td><td>7 - 30</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>7.3 H</strong></td><td>0.5 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.3</td><td>8.6 - 10.2</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.1</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>109.1</td><td>98 - 114</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.5</td><td>22 - 32</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              }
            ],
            "title": "Laboratory Report"
          },
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              "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>All parameters are within normal limits except for markedly elevated creatinine, indicating significant renal impairment, and a mildly increased platelet distribution width, which may suggest platelet size variability. Renal function should be urgently evaluated and correlated clinically. All other hematological and biochemical values are unremarkable.</td></tr></table></div>"
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        "subject": {
          "reference": "urn:uuid:64a85d46-0b2c-4d49-9748-00ebc0c58d7f",
          "display": "Maria Nohlmans"
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        "date": "2018-07-17T15:59:44Z",
        "title": "Laboratory Report",
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          "display": "Maria Nohlmans"
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        "id": "64a85d46-0b2c-4d49-9748-00ebc0c58d7f",
        "meta": {
          "security": [
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              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "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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              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "6886-506417-1"
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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": "2cb21ed6-b617-b1f3-2290-589a710de5ee"
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        ],
        "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"
      }
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        ],
        "reasonCode": [
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            "coding": [
              {
                "code": "401314000",
                "system": "http://snomed.info/sct",
                "display": "Acute non-ST segment elevation myocardial infarction"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "157141000119108",
                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
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            ]
          },
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            "coding": [
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                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
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            ]
          },
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            "coding": [
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                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
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                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "15777000",
                "system": "http://snomed.info/sct",
                "display": "Prediabetes"
              }
            ]
          }
        ],
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:64a85d46-0b2c-4d49-9748-00ebc0c58d7f",
          "display": "Maria Nohlmans"
        },
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          "reference": "urn:uuid:006dd6a6-3cd0-4b1b-b347-0e85fe535995"
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      "fullUrl": "urn:uuid:006dd6a6-3cd0-4b1b-b347-0e85fe535995",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "006dd6a6-3cd0-4b1b-b347-0e85fe535995",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 006dd6a6-3cd0-4b1b-b347-0e85fe535995</div>"
        },
        "organization": {
          "reference": "urn:uuid:13696de8-10aa-4af5-9cb4-d03d5284f933"
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    {
      "fullUrl": "urn:uuid:13696de8-10aa-4af5-9cb4-d03d5284f933",
      "resource": {
        "resourceType": "Organization",
        "id": "13696de8-10aa-4af5-9cb4-d03d5284f933",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu"
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        },
        "identifier": [
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            "assigner": {
              "display": "HL7 Europe"
            },
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            "value": "af42c624-af1c-41b0-a95b-a2b5200f385b"
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        ],
        "address": [
          {
            "line": [
              "Brinckmannstraße 35"
            ],
            "city": "Husum",
            "postalCode": "25813",
            "country": "Germany"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Dr. Wolfram Hussels Kieferorthopäde</div>"
        },
        "name": "Dr. Wolfram Hussels Kieferorthopäde"
      }
    },
    {
      "fullUrl": "urn:uuid:f0ebdf21-c7ad-4b48-a480-03e888fbdf3e",
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          ]
        },
        "collection": {
          "collectedDateTime": "2018-07-17"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Whole blood specimen (specimen)</td><td><span class=\"nb\">17-Jul-2018</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
            }
          ]
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      }
    },
    {
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          ]
        },
        "collection": {
          "collectedDateTime": "2018-07-17"
        },
        "text": {
          "status": "generated",
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              "display": "Erythrocyte distribution width [Entitic volume] by Automated count"
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              "display": "Platelets [#/volume] in Blood by Automated count"
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}