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                  "code": "26436-6",
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                "code": {
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                  {
                    "reference": "urn:uuid:8981af5d-0d63-486f-a855-d3e20cff0d3c"
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                  "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>02-SEP-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>98.4</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>15.6</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.7 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.4</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>138.9</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.6</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>101.7</td><td>98 - 108</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>22.5</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td><strong>6.4 L</strong></td><td>6.6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.5</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td>2.2</td><td>2 - 3.5</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>1.1</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><strong>28.2 L</strong></td><td>53 - 130</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>35.0</td><td>7 - 60</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>22.4</td><td>10 - 49</td><td>U/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>206.2 H</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>102.1</td><td>40 - 150</td><td>mg/dL</td></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>86.9</td><td>0 - 190</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td><strong>37.4 L</strong></td><td>40 - 60</td><td>mg/dL</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              }
            ],
            "title": "Laboratory Report"
          },
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            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows elevated creatinine, suggesting impaired renal function, and mildly decreased total protein. Alkaline phosphatase is low, but not clinically significant. Cholesterol is slightly elevated with low HDL, indicating increased cardiovascular risk. Other parameters, including glucose, electrolytes, liver enzymes, and bilirubin, are within normal limits. Recommend further evaluation of renal function and cardiovascular risk management.</td></tr></table></div>"
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          "display": "Leonhard Köhler"
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        "date": "2018-09-02T04:48:23Z",
        "title": "Laboratory Report",
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          "reference": "urn:uuid:181554a7-4871-45ad-b7f5-5cf1592be746",
          "display": "Leonhard Köhler"
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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": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
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        },
        "identifier": [
          {
            "type": {
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                {
                  "code": "PT",
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              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "5321-442678-4"
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          {
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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": "ffa9f0d8-c016-d46c-e666-000f53715b47"
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        ],
        "name": [
          {
            "family": "Köhler"
          },
          {
            "given": [
              "Leonhard"
            ]
          },
          {
            "text": "Leonhard Köhler"
          }
        ],
        "address": [
          {
            "line": [
              "Henckweg 97/34"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "87629",
            "city": "Füssen",
            "country": "Germany"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "00028839855"
          }
        ],
        "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>Leonhard Köhler</td><td>male</td><td>19-Dec-1949</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1949-12-19"
      }
    },
    {
      "fullUrl": "urn:uuid:10c2cf06-9886-49f4-8671-ada9eae3c22b",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "10c2cf06-9886-49f4-8671-ada9eae3c22b",
        "meta": {
          "profile": [
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        },
        "identifier": [
          {
            "system": "http://example.org",
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          {
            "reference": "urn:uuid:30fe2fb9-509b-401f-88fa-e55f0e6351f8"
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "414545008",
                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
          },
          {
            "coding": [
              {
                "code": "239873007",
                "system": "http://snomed.info/sct",
                "display": "Osteoarthritis of knee"
              }
            ]
          },
          {
            "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:181554a7-4871-45ad-b7f5-5cf1592be746",
          "display": "Leonhard Köhler"
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        "requester": {
          "reference": "urn:uuid:9002bad7-558c-45a2-8de4-30dca8a256d7"
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      }
    },
    {
      "fullUrl": "urn:uuid:9002bad7-558c-45a2-8de4-30dca8a256d7",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "9002bad7-558c-45a2-8de4-30dca8a256d7",
        "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: 9002bad7-558c-45a2-8de4-30dca8a256d7</div>"
        },
        "organization": {
          "reference": "urn:uuid:6bfaeed5-f096-4f74-b523-c52b0fb78e63"
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      }
    },
    {
      "fullUrl": "urn:uuid:6bfaeed5-f096-4f74-b523-c52b0fb78e63",
      "resource": {
        "resourceType": "Organization",
        "id": "6bfaeed5-f096-4f74-b523-c52b0fb78e63",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu"
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        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "aa08a0ae-e29f-49e9-aa74-d464a48e148c"
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        ],
        "address": [
          {
            "line": [
              "Feistlestraße 2"
            ],
            "city": "Füssen",
            "postalCode": "87629",
            "country": "Germany"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: hier ist kein Ärztehaus</div>"
        },
        "name": "hier ist kein Ärztehaus"
      }
    },
    {
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      "resource": {
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          ]
        },
        "collection": {
          "collectedDateTime": "2018-09-02"
        },
        "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\">02-Sep-2018</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (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>Acellular blood (serum or plasma) specimen</td><td><span class=\"nb\">02-Sep-2018</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122592007",
              "system": "http://snomed.info/sct",
              "display": "Acellular blood (serum or plasma) specimen"
            }
          ]
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        "meta": {
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          ]
        },
        "collection": {
          "collectedDateTime": "2018-09-02"
        },
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              "system": "http://unitsofmeasure.org"
            }
          }
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        "code": {
          "coding": [
            {
              "code": "10834-0",
              "system": "http://loinc.org",
              "display": "Globulin [Mass/volume] in Serum by calculation"
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          ],
          "text": "Globulin [Mass/volume] in Serum by calculation"
        },
        "valueQuantity": {
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          "value": 2.2,
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              "code": "1975-2",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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          "value": 1.1,
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              "value": 1.2,
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              "code": "6768-6",
              "system": "http://loinc.org",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 28.2,
          "unit": "U/L",
          "code": "U/L"
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              "value": 130,
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        },
        "status": "final",
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        "code": {
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              "code": "1742-6",
              "system": "http://loinc.org",
              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 35,
          "unit": "U/L",
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        "referenceRange": [
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              "code": "U/L",
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          {
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              "value": 60,
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              "system": "http://unitsofmeasure.org"
            }
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>02-Sep-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>35.0</td><td>7 - 60</td><td></td><td>U/L</td></tr></table></div>"
        },
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          "display": "Leonhard Köhler"
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:bcd82701-5b63-44dc-a4b8-65458e9d20f7",
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        },
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        ],
        "code": {
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              "code": "1920-8",
              "system": "http://loinc.org",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          "value": 22.4,
          "unit": "U/L",
          "code": "U/L"
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          {
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              "value": 49,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
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        ],
        "text": {
          "status": "generated",
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        },
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:5bd5022e-9896-4e3a-8943-3ec0c8e890d7",
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        "code": {
          "coding": [
            {
              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 206.2,
          "unit": "mg/dL",
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                "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>02-Sep-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>206.2</td><td>125 - 200</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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      "fullUrl": "urn:uuid:8981af5d-0d63-486f-a855-d3e20cff0d3c",
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        ],
        "code": {
          "coding": [
            {
              "code": "2571-8",
              "system": "http://loinc.org",
              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Triglyceride [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 102.1,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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              "value": 40,
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              "system": "http://unitsofmeasure.org"
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          },
          {
            "high": {
              "value": 150,
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              "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>02-Sep-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>102.1</td><td>40 - 150</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        ],
        "code": {
          "coding": [
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              "code": "18262-6",
              "system": "http://loinc.org",
              "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
            }
          ],
          "text": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 86.9,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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            "low": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          },
          {
            "high": {
              "value": 190,
              "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>02-Sep-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>86.9</td><td>0 - 190</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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    },
    {
      "fullUrl": "urn:uuid:461aad86-3d69-4baf-8ed9-712e9a217619",
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        },
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        ],
        "category": [
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2085-9",
              "system": "http://loinc.org",
              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 37.4,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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          },
          {
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              "value": 60,
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              "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"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>02-Sep-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>37.4</td><td>40 - 60</td><td>L</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Leonhard Köhler"
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        "effectiveDateTime": "2018-09-02T02:48:23Z",
        "specimen": {
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    },
    {
      "fullUrl": "urn:uuid:66e6beb2-5701-4500-93c3-dcf19adac133",
      "resource": {
        "resourceType": "Device",
        "id": "66e6beb2-5701-4500-93c3-dcf19adac133",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
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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",
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        ],
        "activity": {
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        ],
        "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": "2018-09-02T04:48:23Z"
      }
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    {
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        "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: 7e5cf4bc-d210-41df-b602-1f30cca28f08</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:3b46b4e9-26c2-40ab-ab36-3fb0a5c1525e"
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        ],
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          {
            "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>"
        }
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    }
  ],
  "type": "document",
  "timestamp": "2018-09-02T04:48:23Z"
}