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                  {
                    "reference": "urn:uuid:2c546c1b-c868-4996-833d-23de4e10d96f"
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                  {
                    "reference": "urn:uuid:78c9c748-ab7d-40b0-94b8-5692d00c5a81"
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                  {
                    "reference": "urn:uuid:cbf98529-eff5-434f-a769-3bad9f3d4aaf"
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                    "reference": "urn:uuid:14412985-702d-48aa-a9a0-b4a2045a4e85"
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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>10-AUG-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>71.3</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>18.2</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.0 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.0</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>141.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.5</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>105.2</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td><strong>20.2 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = +</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>2.9 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>71.3</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>18.2</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>0.8</td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.0</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>141.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.5</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>105.2</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>20.2 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
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              {
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                  "coding": [
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                  "text": "Urinalysis"
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>10-AUG-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.8</td><td>0 - 5</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>0.7</td><td>0 - 4</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>5.1 H</strong></td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>5.7</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>230.6 H</strong></td><td>0 - 20</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"
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                  "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>10-AUG-2022</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>"
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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 elevated serum creatinine, low total CO₂, significant proteinuria, ketonuria, glucosuria, and low urine specific gravity, suggesting impaired renal function with possible tubular involvement. Urine findings (cloudy, brown, ammoniacal) may indicate urinary tract pathology. Low HbA1c with normoglycemia suggests recent changes in glucose metabolism. Recommend further renal assessment and clinical correlation for possible acute or chronic kidney disease and urinary tract issues.</td></tr></table></div>"
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        "subject": {
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          "display": "Patricia Joubert"
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        "date": "2022-08-10T08:42:07Z",
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            "use": "home",
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            "postalCode": "50570",
            "city": "Delahaye-la-Forêt",
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                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "FR",
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Patricia Joubert</td><td>female</td><td>10-Sep-1939</td></tr></table></div>"
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        "gender": "female",
        "birthDate": "1939-09-10"
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    },
    {
      "fullUrl": "urn:uuid:91eb62b6-1d27-4046-81c1-146ab531620f",
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          "profile": [
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        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "4bdc49c7-be6b-4830-b139-fac84ab00145"
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        ],
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          {
            "reference": "urn:uuid:c68f0aa4-2d1e-4b19-85d8-ff615b8bd2a2"
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          {
            "reference": "urn:uuid:8aba4c5a-4670-41dd-9409-6161364cb4c4"
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "433144002",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 3"
              }
            ]
          },
          {
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              {
                "code": "157141000119108",
                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
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            ]
          },
          {
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              {
                "code": "431856006",
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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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                "display": "Alzheimer's disease"
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            ]
          },
          {
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                "code": "401303003",
                "system": "http://snomed.info/sct",
                "display": "Acute ST segment elevation myocardial infarction"
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            ]
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          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
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                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
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            ]
          },
          {
            "coding": [
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                "code": "431855005",
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                "display": "Chronic kidney disease stage 1"
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            ]
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          {
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                "system": "http://snomed.info/sct",
                "display": "Chronic sinusitis"
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          {
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                "code": "79619009",
                "system": "http://snomed.info/sct",
                "display": "Mitral valve stenosis"
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            ]
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          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
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          {
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                "display": "Metabolic syndrome X"
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          {
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              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
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        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "active",
        "intent": "order",
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              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          ]
        },
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          "reference": "urn:uuid:0ca0b894-bf36-4bcd-947a-b64c30a8d909",
          "display": "Patricia Joubert"
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          "profile": [
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        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 022ae838-200a-4b36-b484-e139415a0766</div>"
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        "resourceType": "Organization",
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          {
            "assigner": {
              "display": "HL7 Europe"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Maison Médical</div>"
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        "name": "Maison Médical"
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      "fullUrl": "urn:uuid:a2288d72-6bab-47a9-906f-75c298a8b2d0",
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              "code": "122592007",
              "system": "http://snomed.info/sct",
              "display": "Acellular blood (serum or plasma) specimen"
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          "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>Urine specimen</td><td><span class=\"nb\">10-Aug-2022</span></td></tr></table></div>"
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              "code": "258580003",
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              "display": "Whole blood specimen (specimen)"
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              "code": "2345-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
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          "text": "Glucose [Mass/volume] in Serum or Plasma"
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              "value": 140,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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        },
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        "effectiveDateTime": "2022-08-10T06:42:07Z",
        "specimen": {
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              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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          "text": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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              "code": "mg/dL",
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          "text": "Creatinine [Mass/volume] in Serum or Plasma"
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          "value": 2,
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              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Serum or Plasma"
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          "text": "Calcium [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
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        ],
        "text": {
          "status": "generated",
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    {
      "fullUrl": "urn:uuid:a3f10d03-9f84-4123-a128-38b388195bf3",
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        "code": {
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              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          "text": "Sodium [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 141.4,
          "unit": "mmol/L",
          "code": "mmol/L"
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              "value": 145,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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        ],
        "text": {
          "status": "generated",
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        "specimen": {
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      "fullUrl": "urn:uuid:bbba54ad-ca60-4fc3-9a56-9b932fdbef86",
      "resource": {
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        "performer": [
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        "code": {
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              "code": "2823-3",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
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          "system": "http://unitsofmeasure.org",
          "value": 4.5,
          "unit": "mmol/L",
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              "display": "Ketones [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Ketones [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
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          "value": 5.1,
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        ],
        "code": {
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            {
              "code": "2514-8",
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              "display": "Ketones [Presence] in Urine by Test strip"
            }
          ],
          "text": "Ketones [Presence] in Urine by Test strip"
        },
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        },
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        "code": {
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              "code": "5811-5",
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              "display": "Specific gravity of Urine by Test strip"
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          "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"
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          "value": 5.7,
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              "value": 8,
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          }
        ],
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>10-Aug-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>5.7</td><td>5.0 - 8.0</td><td></td><td>pH</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Patricia Joubert"
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        "effectiveDateTime": "2022-08-10T06:42:07Z",
        "specimen": {
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        }
      }
    },
    {
      "fullUrl": "urn:uuid:e7b639cf-d127-427b-ad60-a73ad2b3feb6",
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        "id": "e7b639cf-d127-427b-ad60-a73ad2b3feb6",
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        "code": {
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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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 230.6,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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            },
            "high": {
              "value": 20,
              "code": "mg/dL",
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        ],
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          "status": "generated",
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        },
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              "code": "20454-5",
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              "display": "Protein [Presence] in Urine by Test strip"
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          ],
          "text": "Protein [Presence] in Urine by Test strip"
        },
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>10-Aug-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td></tr></table></div>"
        },
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        "code": {
          "coding": [
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              "code": "5802-4",
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              "display": "Nitrite [Presence] in Urine by Test strip"
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          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
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        "code": {
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              "code": "5794-3",
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              "display": "Hemoglobin [Presence] in Urine by Test strip"
            }
          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
        },
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>10-Aug-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td></tr></table></div>"
        },
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        ],
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              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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          ],
          "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>10-Aug-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td></tr></table></div>"
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              "code": "4548-4",
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              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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          ],
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          "value": 2.9,
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        ],
        "text": {
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        },
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        "code": {
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              "code": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
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          ],
          "text": "Glucose [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 71.3,
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            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
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        ],
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  "timestamp": "2022-08-10T08:42:07Z"
}