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                    "reference": "urn:uuid:dbea45d1-748b-4503-b223-bd51298c2872"
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                    "reference": "urn:uuid:287aa968-da8d-4a29-940b-f8c305f52ccd"
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                  {
                    "reference": "urn:uuid:b576dbca-045b-4cf9-a6b1-4c4e1dea1c89"
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                  {
                    "reference": "urn:uuid:587e07e6-90bc-4777-95a6-6d64be0b707b"
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                  {
                    "reference": "urn:uuid:25a94d1f-efaa-4271-b225-b8825fe1486a"
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                  {
                    "reference": "urn:uuid:e7ee9c76-bdb3-40be-ae46-cef18cbfd0bf"
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                  {
                    "reference": "urn:uuid:7be718b2-0ffa-4047-9642-762c85dee38f"
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                  {
                    "reference": "urn:uuid:da12af90-0852-4bbf-923d-50b26786e59d"
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                "text": {
                  "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>25-APR-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>73.8</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>18.0</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>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>8.7</td><td>8.6 - 10.2</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>142.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>104.6</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>26.6</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>3.4 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>73.8</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>18.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.1 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.7</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>142.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>104.6</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.6</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
                "code": {
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                      "code": "18729-4",
                      "system": "http://loinc.org",
                      "display": "Urinalysis studies (set)"
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                  ],
                  "text": "Urinalysis"
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                "entry": [
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                  {
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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>25-APR-2025</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</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>1.5</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>18.5</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>6.2</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>283.6 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr></tbody></table></div>"
                },
                "title": "Urinalysis"
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              {
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                "entry": [
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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>25-APR-2025</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 significantly elevated creatinine, marked proteinuria, and abnormal urine findings (cloudy, brown, low specific gravity, glucosuria, ketonuria), suggesting impaired renal function, possibly acute or chronic kidney disease with nephrotic features. Blood glucose is normal but HbA1c is unexpectedly low, possibly due to anemia or hemoglobinopathy. No evidence of urinary tract infection. Recommend urgent nephrology evaluation and further workup for underlying renal pathology and possible systemic disease.</td></tr></table></div>"
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        "status": "final",
        "subject": {
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          "display": "Angela Bauer"
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        "date": "2025-04-25T13:23:19Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
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        "text": {
          "status": "empty",
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        },
        "status": "registered",
        "code": {
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              "system": "http://loinc.org",
              "display": "Laboratory report"
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        "subject": {
          "reference": "urn:uuid:c89ac862-b960-462e-bc24-99609e53d2bd",
          "display": "Angela Bauer"
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              "code": "synthetic",
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            "system": "http://ec.europa.eu/identifier/eci",
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        "address": [
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            "line": [
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            "use": "home",
            "type": "physical",
            "postalCode": "6240",
            "city": "Rattenberg",
            "country": "Austria"
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        ],
        "telecom": [
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            "system": "phone",
            "value": "(06235) 28231 921"
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        ],
        "extension": [
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                "url": "code",
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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>Angela Bauer</td><td>female</td><td>08-Dec-1968</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1968-12-08"
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    },
    {
      "fullUrl": "urn:uuid:d35b9faa-06f0-4524-a456-ef6276c14bab",
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        "resourceType": "ServiceRequest",
        "id": "d35b9faa-06f0-4524-a456-ef6276c14bab",
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        },
        "identifier": [
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          {
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          {
            "reference": "urn:uuid:ae5cf5d5-abf9-47b7-867a-cdf1114a63e4"
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        ],
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          {
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                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 3"
              }
            ]
          },
          {
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              {
                "code": "157141000119108",
                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "237602007",
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                "display": "Metabolic syndrome X"
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            ]
          },
          {
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                "display": "Osteoarthritis of hip"
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            ]
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          {
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                "code": "59621000",
                "system": "http://snomed.info/sct",
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            ]
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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              "display": "Laboratory procedure"
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          "display": "Angela Bauer"
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            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
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        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: cf2649fb-3ebd-4afe-afc3-0389e715332e</div>"
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            "city": "Fügen",
            "postalCode": "6263",
            "country": "Austria"
          }
        ],
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Dr. Gerald Mair</div>"
        },
        "name": "Dr. Gerald Mair"
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          ]
        },
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              "display": "Acellular blood (serum or plasma) specimen"
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          ]
        },
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              "display": "Urine specimen"
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          ]
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            {
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              "display": "Whole blood specimen (specimen)"
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              "code": "2345-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
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          "text": "Glucose [Mass/volume] in Serum or Plasma"
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              "code": "mg/dL",
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              "value": 100,
              "code": "mg/dL",
              "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>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>73.8</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
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        "status": "final",
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          "display": "Angela Bauer"
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              "code": "3094-0",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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        },
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              "display": "Creatinine [Mass/volume] in Serum or Plasma"
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              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Serum or Plasma"
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          "value": 8.7,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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          "display": "Angela Bauer"
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        "specimen": {
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      "fullUrl": "urn:uuid:38239a4b-67ea-4c07-9914-2231dc372f48",
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              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          "text": "Sodium [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 142.2,
          "unit": "mmol/L",
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            "high": {
              "value": 145,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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        "status": "final",
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    {
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        "code": {
          "coding": [
            {
              "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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        "valueQuantity": {
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          "value": 4,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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              "value": 5.1,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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        "status": "final",
        "subject": {
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        "code": {
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              "code": "2514-8",
              "system": "http://loinc.org",
              "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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              "display": "Specific gravity of Urine by Test strip"
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          ],
          "text": "Specific gravity of Urine by Test strip"
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        "valueQuantity": {
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        ],
        "text": {
          "status": "generated",
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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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              "code": "pH",
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          }
        ],
        "text": {
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        },
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          "display": "Angela Bauer"
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:80b1f4fc-27f5-4197-a28c-faebbfd20072",
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        "id": "80b1f4fc-27f5-4197-a28c-faebbfd20072",
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        "code": {
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              "code": "5804-0",
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              "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": 283.6,
          "unit": "mg/dL",
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        "referenceRange": [
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        ],
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>283.6</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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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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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td></tr></table></div>"
        },
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        ],
        "code": {
          "coding": [
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              "code": "5802-4",
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              "display": "Nitrite [Presence] in Urine by Test strip"
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          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</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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        "valueCodeableConcept": {
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              "display": "Urine nitrite negative"
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
            }
          ],
          "text": "Hemoglobin [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>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td></tr></table></div>"
        },
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
            }
          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>25-Apr-2025</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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        "valueCodeableConcept": {
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              "display": "Urine leukocyte test negative"
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
            }
          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
        },
        "valueQuantity": {
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          "value": 3.4,
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              "value": 5.6,
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            ]
          }
        ],
        "text": {
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        },
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        "category": [
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        ],
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        ],
        "code": {
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              "code": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
            }
          ],
          "text": "Glucose [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 73.8,
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            },
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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>25-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>73.8</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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        ],
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}