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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>14-APR-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>82.2</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>18.4</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>9.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>141.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.7</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>109.3 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td><strong>21.1 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></tbody></table></div>"
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                "title": "Chemistry"
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                      "code": "18729-4",
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                      "display": "Urinalysis studies (set)"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>14-APR-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>1.4 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>1.4 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>8.5 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>6.4</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>278.9 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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                "entry": [
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                    "reference": "urn:uuid:8fa6391a-c40b-4b85-949c-99aca65ff15f"
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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>14-APR-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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            "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 serum creatinine, suggesting impaired renal function, and abnormal urine findings including proteinuria, glucosuria, ketonuria, and bilirubinuria, with low urine specific gravity. These findings indicate possible renal dysfunction, tubular damage, or acute metabolic disturbance. Low HbA1c suggests no chronic hyperglycemia. Urine color and appearance may indicate underlying pathology. Clinical correlation and further nephrological and metabolic evaluation are recommended.</td></tr></table></div>"
            },
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          "status": "empty",
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        "status": "final",
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          "reference": "urn:uuid:e20417a6-26cc-4a90-8fb4-b65a2cc9b6cf",
          "display": "Yves Rémy"
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        "date": "2019-04-14T07:32:03Z",
        "title": "Laboratory Report",
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              "code": "synthetic",
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            "value": "4543-821530-8"
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            "value": "12ef67e4-2698-90f4-7860-a5366805885f"
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        ],
        "name": [
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            "given": [
              "Yves"
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            "family": "Rémy",
            "text": "Yves Rémy"
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        ],
        "address": [
          {
            "line": [
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            "use": "home",
            "type": "physical",
            "postalCode": "06400",
            "city": "Cannes",
            "country": "France"
          }
        ],
        "telecom": [
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            "system": "phone",
            "value": "+33 (0)1 53 38 28 55"
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                "url": "code",
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Yves Rémy</td><td>male</td><td>16-May-1948</td></tr></table></div>"
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        ],
        "reasonCode": [
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                "code": "88805009",
                "system": "http://snomed.info/sct",
                "display": "Chronic congestive heart failure"
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            ]
          },
          {
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                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
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            ]
          },
          {
            "coding": [
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                "code": "90781000119102",
                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
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                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
          },
          {
            "coding": [
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                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
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            ]
          },
          {
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                "code": "414545008",
                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
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                "display": "Osteoporosis"
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            ]
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        "resourceType": "Observation",
        "id": "be9faa50-db18-4e4e-a356-d7b1e5abaf4a",
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        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "2028-9",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 21.1,
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            "high": {
              "value": 29,
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                "code": "laboratory",
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            ]
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5767-9",
              "system": "http://loinc.org",
              "display": "Appearance of Urine"
            }
          ],
          "text": "Appearance of Urine"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>14-Apr-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Appearance of Urine</td><td>Cloudy urine</td></tr></table></div>"
        },
        "status": "final",
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        "valueCodeableConcept": {
          "coding": [
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              "code": "7766007",
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              "display": "Cloudy urine"
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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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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "34533-0",
              "system": "http://loinc.org",
              "display": "Odor of Urine"
            }
          ],
          "text": "Odor of Urine"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>14-Apr-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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        },
        "effectiveDateTime": "2019-04-14T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "167248002",
              "system": "http://snomed.info/sct",
              "display": "Urine smell ammoniacal"
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          ]
        },
        "specimen": {
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      }
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    {
      "fullUrl": "urn:uuid:9a76bd0a-690e-4bab-88e9-f10c734d2f93",
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        "resourceType": "Observation",
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
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          {
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        ],
        "code": {
          "coding": [
            {
              "code": "32167-9",
              "system": "http://loinc.org",
              "display": "Clarity of Urine"
            }
          ],
          "text": "Clarity of Urine"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>14-Apr-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Clarity of Urine</td><td>Translucent</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2019-04-14T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "300828005",
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              "display": "Translucent"
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          ]
        },
        "specimen": {
          "reference": "urn:uuid:b30b27bc-dfe3-4cde-95ea-59835efeb8fc"
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      }
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    {
      "fullUrl": "urn:uuid:dada9150-79e6-4213-9cd2-8f291d9d5675",
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5778-6",
              "system": "http://loinc.org",
              "display": "Color of Urine"
            }
          ],
          "text": "Color of Urine"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>14-Apr-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Color of Urine</td><td>Brown color</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:e20417a6-26cc-4a90-8fb4-b65a2cc9b6cf",
          "display": "Yves Rémy"
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        "effectiveDateTime": "2019-04-14T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "371254008",
              "system": "http://snomed.info/sct",
              "display": "Brown color"
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          ]
        },
        "specimen": {
          "reference": "urn:uuid:b30b27bc-dfe3-4cde-95ea-59835efeb8fc"
        }
      }
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5792-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Glucose [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1.4,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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            "low": {
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            "high": {
              "value": 0.8,
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                "code": "H",
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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>14-Apr-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.4</td><td>0 - 0.8</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2019-04-14T05:32:03Z",
        "specimen": {
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      }
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    {
      "fullUrl": "urn:uuid:d0c13c38-1fbc-4121-9f29-770cbb8176bd",
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        "id": "d0c13c38-1fbc-4121-9f29-770cbb8176bd",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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              }
            ]
          }
        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "25428-4",
              "system": "http://loinc.org",
              "display": "Glucose [Presence] in Urine by Test strip"
            }
          ],
          "text": "Glucose [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>14-Apr-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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          "reference": "urn:uuid:e20417a6-26cc-4a90-8fb4-b65a2cc9b6cf",
          "display": "Yves Rémy"
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        "effectiveDateTime": "2019-04-14T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "167265006",
              "system": "http://snomed.info/sct",
              "display": "Urine glucose test = ++"
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          ]
        },
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "20505-4",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Bilirubin.total [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1.4,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
          {
            "low": {
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            },
            "high": {
              "value": 0.4,
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              "system": "http://unitsofmeasure.org"
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        ],
        "interpretation": [
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            "coding": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>14-Apr-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>1.4</td><td>0.0 - 0.4</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2019-04-14T05:32:03Z",
        "specimen": {
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    },
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      "fullUrl": "urn:uuid:64f86cae-be96-4f3b-a4d7-79ee6d25a13d",
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        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
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        ],
        "code": {
          "coding": [
            {
              "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"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>14-Apr-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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          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2019-04-14T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "275778006",
              "system": "http://snomed.info/sct",
              "display": "Finding of bilirubin in urine"
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          ]
        },
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      }
    },
    {
      "fullUrl": "urn:uuid:ea474b05-001a-4b96-bf11-ee2db2b518e1",
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        "id": "ea474b05-001a-4b96-bf11-ee2db2b518e1",
        "meta": {
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        },
        "category": [
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          }
        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "5797-6",
              "system": "http://loinc.org",
              "display": "Ketones [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Ketones [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 8.5,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 4,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "interpretation": [
          {
            "coding": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>14-Apr-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>8.5</td><td>0 - 4</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        },
        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2514-8",
              "system": "http://loinc.org",
              "display": "Ketones [Presence] in Urine by Test strip"
            }
          ],
          "text": "Ketones [Presence] in Urine by Test strip"
        },
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          "text": "Synthetic Example Data Generation"
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                "display": "training"
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            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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        "text": {
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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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        "recorded": "2019-04-14T07:32:03Z"
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  "timestamp": "2019-04-14T07:32:03Z"
}