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                    "reference": "urn:uuid:b589d50b-9081-4918-a172-cc10497afe43"
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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>23-DEC-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>90.1</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>17.6</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.6 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.5</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>137.5</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.2</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>102.6</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>24.7</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.8</td><td>6.6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>3.7</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>3.1 L</strong></td><td>20 - 39</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.3</td><td>0.2 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>132.0 H</strong></td><td>30 - 120</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>23.9</td><td>10 - 55</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>6.5 L</strong></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>"
                },
                "title": "Chemistry"
              },
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                      "display": "Urinalysis studies (set)"
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                  "text": "Urinalysis"
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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>23-DEC-2016</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>2.0 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>1.0</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>10.4 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>6.3</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>448.4 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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                  "text": "Specimen information"
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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>23-DEC-2016</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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              "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 significant proteinuria, glycosuria, and ketonuria, indicating possible diabetic nephropathy or acute metabolic decompensation. Alkaline phosphatase is mildly elevated, and urine is abnormal in appearance and color. No evidence of urinary tract infection. Recommend further evaluation of renal function, glycemic control, and possible underlying metabolic or hepatic disorders.</td></tr></table></div>"
            },
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          "display": "Mohammed Kronenberg"
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        "date": "2016-12-23T18:19:45Z",
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        "subject": {
          "reference": "urn:uuid:26c8c4ce-77f4-4bef-bed8-12e35dee64d7",
          "display": "Mohammed Kronenberg"
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              "code": "HTEST"
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              "code": "TRAIN"
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              "code": "synthetic",
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        "name": [
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            "text": "Mohammed Kronenberg"
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        ],
        "address": [
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            "line": [
              "Rooshof 52"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "9442",
            "city": "Elp",
            "country": "Netherlands"
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        ],
        "telecom": [
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            "value": "0408 664365"
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        ],
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Mohammed Kronenberg</td><td>male</td><td>03-May-1938</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1938-05-03"
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              "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>23-Dec-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.2</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
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        "category": [
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        ],
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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": 102.6,
          "unit": "mmol/L",
          "code": "mmol/L"
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            "high": {
              "value": 107,
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Dec-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>102.6</td><td>98 - 107</td><td></td><td>mmol/L</td></tr></table></div>"
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        "code": {
          "coding": [
            {
              "code": "20565-8",
              "system": "http://loinc.org",
              "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": 24.7,
          "unit": "mmol/L",
          "code": "mmol/L"
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            "low": {
              "value": 22,
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            "high": {
              "value": 32,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Dec-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>24.7</td><td>22 - 32</td><td></td><td>mmol/L</td></tr></table></div>"
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        "code": {
          "coding": [
            {
              "code": "2885-2",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Protein [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 6.8,
          "unit": "g/dL",
          "code": "g/dL"
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        "referenceRange": [
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              "value": 6.6,
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              "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>23-Dec-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.8</td><td>6.6 - 8.3</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Mohammed Kronenberg"
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        "effectiveDateTime": "2016-12-23T17:19:45Z",
        "specimen": {
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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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 3.7,
          "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"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Dec-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>3.7</td><td>3.5 - 5.5</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2016-12-23T17:19:45Z",
        "specimen": {
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    {
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                "code": "laboratory",
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        "code": {
          "coding": [
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              "code": "10834-0",
              "system": "http://loinc.org",
              "display": "Globulin [Mass/volume] in Serum by calculation"
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          ],
          "text": "Globulin [Mass/volume] in Serum by calculation"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 3.1,
          "unit": "g/L",
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        "referenceRange": [
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            "low": {
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            "high": {
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        "interpretation": [
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
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            ]
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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>23-Dec-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td>3.1</td><td>20 - 39</td><td>L</td><td>g/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Mohammed Kronenberg"
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        "effectiveDateTime": "2016-12-23T17:19:45Z",
        "specimen": {
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        "category": [
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        ],
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        "code": {
          "coding": [
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              "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"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 0.3,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 0.2,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Dec-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.3</td><td>0.2 - 1.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Mohammed Kronenberg"
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        "effectiveDateTime": "2016-12-23T17:19:45Z",
        "specimen": {
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        }
      }
    },
    {
      "fullUrl": "urn:uuid:52be2408-490f-4439-8659-b08616035d8e",
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        "id": "52be2408-490f-4439-8659-b08616035d8e",
        "meta": {
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        },
        "category": [
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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"
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        "valueQuantity": {
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          "value": 132,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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              "code": "U/L",
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            "high": {
              "value": 120,
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              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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            ]
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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>23-Dec-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>132.0</td><td>30 - 120</td><td>H</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Mohammed Kronenberg"
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        "effectiveDateTime": "2016-12-23T17:19:45Z",
        "specimen": {
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      "fullUrl": "urn:uuid:133ca041-f9bf-43f5-9d83-6a7b9f2c765d",
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        "category": [
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                "code": "laboratory",
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            ]
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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": 23.9,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
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            "low": {
              "value": 10,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 55,
              "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>23-Dec-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>23.9</td><td>10 - 55</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Mohammed Kronenberg"
        },
        "effectiveDateTime": "2016-12-23T17:19:45Z",
        "specimen": {
          "reference": "urn:uuid:c126680e-d4a4-4c0e-ad4d-d88ce6382ea3"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b589d50b-9081-4918-a172-cc10497afe43",
      "resource": {
        "resourceType": "Observation",
        "id": "b589d50b-9081-4918-a172-cc10497afe43",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
          {
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        ],
        "code": {
          "coding": [
            {
              "code": "1920-8",
              "system": "http://loinc.org",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 6.5,
          "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"
            }
          }
        ],
        "interpretation": [
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            "coding": [
              {
                "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>23-Dec-2016</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>6.5</td><td>10 - 40</td><td>L</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:26c8c4ce-77f4-4bef-bed8-12e35dee64d7",
          "display": "Mohammed Kronenberg"
        },
        "effectiveDateTime": "2016-12-23T17:19:45Z",
        "specimen": {
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      }
    },
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      "fullUrl": "urn:uuid:cd09c428-95ee-444b-9417-96cc30e8cd4b",
      "resource": {
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        "category": [
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          "text": "Hemoglobin [Presence] in Urine by Test strip"
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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",
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  "timestamp": "2016-12-23T18:19:45Z"
}