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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>04-AUG-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td><strong>68.6 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>15.1</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.9 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>9.4</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>137.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>107.0</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td><strong>21.8 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>3.1 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>68.6 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>15.1</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>1.9 H</strong></td><td>0.7 - 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>137.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>107.0</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>21.8 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
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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>04-AUG-2019</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>0.9 H</strong></td><td>0 - 0.8</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><strong>1.3 H</strong></td><td>0.0 - 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>9.8 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>5.9</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>282.2 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>"
                },
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                  "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>04-AUG-2019</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 mild hypoglycemia, low HbA1c, elevated creatinine (suggesting impaired renal function), and mild metabolic acidosis. Urinalysis reveals proteinuria, glucosuria, ketonuria, bilirubinuria, low specific gravity, and abnormal urine appearance/color, indicating possible nephropathy and metabolic derangement. No evidence of urinary infection. Findings are suggestive of renal impairment with possible underlying diabetes and/or liver dysfunction; clinical correlation and further evaluation are recommended.</td></tr></table></div>"
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        "date": "2019-08-04T07:32:03Z",
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                  ]
                }
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            ],
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
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        ],
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Clinique du Méridien</div>"
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        "name": "Clinique du Méridien"
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        },
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              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          "value": 137.4,
          "unit": "mmol/L",
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              "value": 145,
              "code": "mmol/L",
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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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          "value": 5,
          "unit": "mmol/L",
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          }
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            {
              "code": "2075-0",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Chloride [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
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        ],
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              "code": "2028-9",
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              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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          "text": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 21.8,
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          "coding": [
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              "code": "5767-9",
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              "display": "Appearance of Urine"
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          ],
          "text": "Appearance of Urine"
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        "status": "final",
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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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        "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>04-Aug-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td></tr></table></div>"
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        "valueCodeableConcept": {
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        "code": {
          "coding": [
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              "code": "32167-9",
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              "display": "Clarity of Urine"
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          ],
          "text": "Clarity of Urine"
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        },
        "status": "final",
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        "valueCodeableConcept": {
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        "code": {
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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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        },
        "status": "final",
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        "effectiveDateTime": "2019-08-04T05:32:03Z",
        "valueCodeableConcept": {
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              "display": "Brown color"
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          ]
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      "fullUrl": "urn:uuid:f23adce4-568d-4508-b67c-3ab265c238e9",
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        "category": [
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        "code": {
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              "code": "5792-7",
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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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 0.9,
          "unit": "mg/dL",
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        "referenceRange": [
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            "high": {
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                "display": "High"
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            ]
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        ],
        "text": {
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        },
        "status": "final",
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        "effectiveDateTime": "2019-08-04T05:32:03Z",
        "specimen": {
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        "category": [
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                "code": "laboratory",
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        "code": {
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              "code": "25428-4",
              "system": "http://loinc.org",
              "display": "Glucose [Presence] in Urine by Test strip"
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          ],
          "text": "Glucose [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>04-Aug-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2019-08-04T05:32:03Z",
        "valueCodeableConcept": {
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              "display": "Urine glucose test = ++"
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        "code": {
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              "code": "20505-4",
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              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Bilirubin.total [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
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          "value": 1.3,
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            "high": {
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                "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>04-Aug-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>1.3</td><td>0.0 - 0.4</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2019-08-04T05:32:03Z",
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        "category": [
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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": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>04-Aug-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2019-08-04T05:32:03Z",
        "valueCodeableConcept": {
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      }
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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": {
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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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              "code": "5811-5",
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          "value": 1,
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              "value": 1.03,
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          "coding": [
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              "code": "5803-2",
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              "display": "pH of Urine by Test strip"
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          ],
          "text": "pH of Urine by Test strip"
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        "valueQuantity": {
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          "value": 5.9,
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>04-Aug-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>5.9</td><td>4.5 - 8.0</td><td></td><td>pH</td></tr></table></div>"
        },
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2019-08-04T05:32:03Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:ff225190-c711-4777-a06d-3d877f99efa7",
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              "code": "5804-0",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Protein [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 282.2,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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        ],
        "text": {
          "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"
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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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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>04-Aug-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td></tr></table></div>"
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        "effectiveDateTime": "2019-08-04T05:32:03Z",
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        "code": {
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              "code": "5794-3",
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              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
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            {
              "code": "5799-2",
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              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
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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>04-Aug-2019</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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              "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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              "display": "Urea nitrogen [Mass/volume] in Blood"
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          "value": 15.1,
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          "text": "Creatinine [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 1.9,
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        "code": {
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              "display": "Calcium [Mass/volume] in Blood"
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          "value": 9.4,
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              "display": "Sodium [Moles/volume] in Blood"
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          ],
          "text": "Sodium [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 137.4,
          "unit": "mmol/L",
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            "high": {
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        ],
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        "code": {
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              "code": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
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          ],
          "text": "Potassium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 5,
          "unit": "mmol/L",
          "code": "mmol/L"
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            "high": {
              "value": 5.1,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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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>04-Aug-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.0</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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        "code": {
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              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
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          ],
          "text": "Chloride [Moles/volume] in Blood"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 107,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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            "high": {
              "value": 107,
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              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
          "status": "generated",
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        "status": "final",
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
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          "value": 21.8,
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        "specimen": {
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            "type": "manufacturer-name"
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        "version": [
          {
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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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              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
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        "agent": [
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                "code": "TRAIN",
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                "display": "training"
              }
            ],
            "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": "2019-08-04T07:32:03Z"
      }
    },
    {
      "fullUrl": "urn:uuid:d1d8fc46-48a5-4f1a-a5e6-ff55a272267d",
      "resource": {
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        "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: d1d8fc46-48a5-4f1a-a5e6-ff55a272267d</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:45fe6e8d-ccd2-49c4-95d9-70f03feec8fe"
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    {
      "fullUrl": "urn:uuid:45fe6e8d-ccd2-49c4-95d9-70f03feec8fe",
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        "resourceType": "Practitioner",
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        },
        "identifier": [
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "ec1de04d-3469-4235-8742-c3ec63ef4236"
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        ],
        "name": [
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            "prefix": [
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            "given": [
              "Ex"
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            "family": "Ample"
          }
        ],
        "address": [
          {
            "line": [
              "Laboratoire Central Européenne",
              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
        }
      }
    }
  ],
  "type": "document",
  "timestamp": "2019-08-04T07:32:03Z"
}
