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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>29-DEC-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>88.7</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>17.5</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.3 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>10.2</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>138.6</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><strong>107.5 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>21.5 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.4</td><td>6.0 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.6</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>3.0 L</strong></td><td>20 - 39</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td><strong>0.1 L</strong></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>121.4 H</strong></td><td>39 - 117</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>29.3</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>31.5</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</td><td></td><td></td></tr></tbody></table></div>"
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                "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>29-DEC-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>2.4</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><strong>1.3 H</strong></td><td>0 - 1</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>15.6</td><td>0 - 20</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>6.8</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>272.1 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>29-DEC-2024</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 markedly elevated creatinine and proteinuria, suggesting significant renal impairment. Urine findings (cloudy, brown, low specific gravity, protein, glucose, bilirubin, ketones) further support renal dysfunction, possibly with tubular involvement. Mild metabolic acidosis is indicated by low CO₂. Elevated alkaline phosphatase may suggest hepatic or bone involvement. Immediate nephrology evaluation is recommended to clarify etiology and guide management.</td></tr></table></div>"
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            ],
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              "display": "Urea nitrogen [Mass/volume] in Blood"
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              "display": "Calcium [Mass/volume] in Blood"
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          "text": "Calcium [Mass/volume] in Blood"
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        "code": {
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              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
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          "text": "Sodium [Moles/volume] in Blood"
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          "value": 138.6,
          "unit": "mmol/L",
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          }
        ],
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        "resourceType": "Observation",
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        },
        "category": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
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        ],
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            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
            }
          ],
          "text": "Potassium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 5,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
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            "low": {
              "value": 3.5,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.1,
              "code": "mmol/L",
              "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>29-Dec-2024</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>"
        },
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          "display": "Tom Hayward"
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        "specimen": {
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        "id": "61b1aa6e-fb9a-4d67-8220-392a091ff41d",
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                "code": "laboratory",
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          }
        ],
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          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
            }
          ],
          "text": "Chloride [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 107.5,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
          {
            "low": {
              "value": 98,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 107,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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                "code": "H",
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                "display": "High"
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            ]
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        ],
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          "status": "generated",
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        },
        "status": "final",
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        "specimen": {
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      }
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      "fullUrl": "urn:uuid:4daf054a-ac67-4477-88d8-e5ee86d01028",
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        "id": "4daf054a-ac67-4477-88d8-e5ee86d01028",
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                "code": "laboratory",
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            ]
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "20565-8",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 21.5,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 29,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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                "display": "Low"
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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>29-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>21.5</td><td>22 - 29</td><td>L</td><td>mmol/L</td></tr></table></div>"
        },
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2024-12-29T11:38:44Z",
        "specimen": {
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      }
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        "category": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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        ],
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2885-2",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Protein [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 6.4,
          "unit": "g/dL",
          "code": "g/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 6,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 8.3,
              "code": "g/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>29-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.4</td><td>6.0 - 8.3</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2024-12-29T11:38:44Z",
        "specimen": {
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    },
    {
      "fullUrl": "urn:uuid:9957c8f9-a9c2-49ee-bea0-f3237f89b277",
      "resource": {
        "resourceType": "Observation",
        "id": "9957c8f9-a9c2-49ee-bea0-f3237f89b277",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "1751-7",
              "system": "http://loinc.org",
              "display": "Albumin [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Albumin [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 4.6,
          "unit": "g/dL",
          "code": "g/dL"
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        "referenceRange": [
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            "low": {
              "value": 3.5,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.5,
              "code": "g/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>29-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.6</td><td>3.5 - 5.5</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2024-12-29T11:38:44Z",
        "specimen": {
          "reference": "urn:uuid:bc3d52fa-0d82-440d-a4d0-f3bece8ed9e9"
        }
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    },
    {
      "fullUrl": "urn:uuid:b880e203-d810-42e8-be9a-f2bea522e06b",
      "resource": {
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        "id": "b880e203-d810-42e8-be9a-f2bea522e06b",
        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
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        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "10834-0",
              "system": "http://loinc.org",
              "display": "Globulin [Mass/volume] in Serum by calculation"
            }
          ],
          "text": "Globulin [Mass/volume] in Serum by calculation"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 3,
          "unit": "g/L",
          "code": "g/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 20,
              "code": "g/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 39,
              "code": "g/L",
              "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>29-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td>3.0</td><td>20 - 39</td><td>L</td><td>g/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:3c9f77c3-edf6-4c0f-b7f3-43c57fea6fe9",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2024-12-29T11:38:44Z",
        "specimen": {
          "reference": "urn:uuid:e16ea110-ae90-4a6c-83aa-d9c2f91c7f26"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a444e422-143f-4448-9eaf-1bbd4279224f",
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        "id": "a444e422-143f-4448-9eaf-1bbd4279224f",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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            ]
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "1975-2",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 0.1,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.3,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.2,
              "code": "mg/dL",
              "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"
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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>29-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.1</td><td>0.3 - 1.2</td><td>L</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2024-12-29T11:38:44Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:aee1056a-c3c0-4b1b-a958-bbf97077dc37",
      "resource": {
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        "id": "aee1056a-c3c0-4b1b-a958-bbf97077dc37",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "6768-6",
              "system": "http://loinc.org",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 121.4,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 39,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 117,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "interpretation": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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            ]
          }
        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2024-12-29T11:38:44Z",
        "specimen": {
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      }
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      "fullUrl": "urn:uuid:6dbbdfc0-2d3c-4453-ba4a-a720ee0be168",
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        "category": [
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                "code": "laboratory",
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          }
        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "1742-6",
              "system": "http://loinc.org",
              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 29.3,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 10,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 40,
              "code": "U/L",
              "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>29-Dec-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>29.3</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2024-12-29T11:38:44Z",
        "specimen": {
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    {
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        },
        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
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        ],
        "code": {
          "coding": [
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              "code": "1920-8",
              "system": "http://loinc.org",
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          "text": "Nitrite [Presence] in Urine by Test strip"
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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"
        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>29-Dec-2024</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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              "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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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>29-Dec-2024</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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          "text": "Synthetic Example Data Generation"
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            "text": "Interoperability Testing and Training (non-clinical use)"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
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        ],
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  "timestamp": "2024-12-29T12:38:44Z"
}