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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>24-NOV-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>98.6</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>16.8</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.8 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>8.7</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>137.8</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>110.4 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>21.3 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = +</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.3 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>98.6</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>16.8</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.7 H</strong></td><td>0.7 - 1.3</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>137.8</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>110.4 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>21.3 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
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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>24-NOV-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>0.7</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>0.7 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>15.0 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>6.5</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>331.8 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>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 creatinine, proteinuria, and abnormal urine findings (cloudy, brown, low specific gravity, bilirubin, ketones), suggesting significant renal impairment with possible nephrotic features. Metabolic acidosis is indicated by low CO₂ and high chloride. HbA1c is unexpectedly low despite glucosuria and ketonuria, which may reflect recent glycemic changes or analytical interference. Urgent nephrology evaluation is recommended to clarify etiology and guide management.</td></tr></table></div>"
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                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "FR",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
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          "status": "generated",
          "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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        "gender": "male",
        "birthDate": "1948-05-16"
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    },
    {
      "fullUrl": "urn:uuid:86573217-56f0-4b05-8349-07a9a5f7a93d",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "86573217-56f0-4b05-8349-07a9a5f7a93d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"
          ]
        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "a8efba4d-f1b0-4f7f-b5dc-1a4603e57a5e"
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        ],
        "specimen": [
          {
            "reference": "urn:uuid:091af04a-d7c6-45d7-bdb6-7ff32c932665"
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          {
            "reference": "urn:uuid:6340bfa7-d2da-47e3-9246-ca98126c7998"
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          {
            "reference": "urn:uuid:d59f8316-01a2-400d-be9c-f085e181a25a"
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "88805009",
                "system": "http://snomed.info/sct",
                "display": "Chronic congestive heart failure"
              }
            ]
          },
          {
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              {
                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "90781000119102",
                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "414545008",
                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "64859006",
                "system": "http://snomed.info/sct",
                "display": "Osteoporosis"
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            ]
          },
          {
            "coding": [
              {
                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "90560007",
                "system": "http://snomed.info/sct",
                "display": "Gout"
              }
            ]
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          ]
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        "subject": {
          "reference": "urn:uuid:c2deaa1a-0f7d-4540-af7b-44050e194171",
          "display": "Yves Rémy"
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        "resourceType": "PractitionerRole",
        "id": "38b10115-58dc-4037-9aac-7a135e54dca5",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 38b10115-58dc-4037-9aac-7a135e54dca5</div>"
        },
        "organization": {
          "reference": "urn:uuid:6909978a-698e-477e-9be6-90a921915055"
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      }
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    {
      "fullUrl": "urn:uuid:6909978a-698e-477e-9be6-90a921915055",
      "resource": {
        "resourceType": "Organization",
        "id": "6909978a-698e-477e-9be6-90a921915055",
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          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu"
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        },
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          {
            "assigner": {
              "display": "HL7 Europe"
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "614a6a33-cf3d-471d-846f-6ed852d5efda"
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        ],
        "address": [
          {
            "city": "Cannes",
            "postalCode": "06150",
            "country": "France"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Clinique du Méridien</div>"
        },
        "name": "Clinique du Méridien"
      }
    },
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      "fullUrl": "urn:uuid:091af04a-d7c6-45d7-bdb6-7ff32c932665",
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        "resourceType": "Specimen",
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          ]
        },
        "collection": {
          "collectedDateTime": "2024-11-24"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Acellular blood (serum or plasma) specimen</td><td><span class=\"nb\">24-Nov-2024</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122592007",
              "system": "http://snomed.info/sct",
              "display": "Acellular blood (serum or plasma) specimen"
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          ]
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      }
    },
    {
      "fullUrl": "urn:uuid:6340bfa7-d2da-47e3-9246-ca98126c7998",
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        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Urine specimen</td><td><span class=\"nb\">24-Nov-2024</span></td></tr></table></div>"
        },
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          "coding": [
            {
              "code": "122575003",
              "system": "http://snomed.info/sct",
              "display": "Urine specimen"
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    {
      "fullUrl": "urn:uuid:d59f8316-01a2-400d-be9c-f085e181a25a",
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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>Specimen</th><th>Collection Date</th></tr><tr><td>Whole blood specimen (specimen)</td><td><span class=\"nb\">24-Nov-2024</span></td></tr></table></div>"
        },
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          "coding": [
            {
              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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          ]
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    {
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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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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 98.6,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 70,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "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>24-Nov-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>98.6</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:c2deaa1a-0f7d-4540-af7b-44050e194171",
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        "effectiveDateTime": "2024-11-24T05:32:03Z",
        "specimen": {
          "reference": "urn:uuid:091af04a-d7c6-45d7-bdb6-7ff32c932665"
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    {
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        "code": {
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            {
              "code": "3094-0",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 20,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
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        },
        "status": "final",
        "subject": {
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        "effectiveDateTime": "2024-11-24T05:32:03Z",
        "specimen": {
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    {
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      "resource": {
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        ],
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        "code": {
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              "code": "2160-0",
              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Creatinine [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 1.8,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 0.6,
              "code": "mg/dL",
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "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>24-Nov-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td>1.8</td><td>0.6 - 1.3</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
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        "subject": {
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        "specimen": {
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      "fullUrl": "urn:uuid:a1ccc67e-96a0-4476-b01f-0655c28a54fb",
      "resource": {
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        "category": [
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        ],
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        ],
        "code": {
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              "code": "17861-6",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Calcium [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 8.7,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 10.5,
              "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>24-Nov-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>8.7</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:c2deaa1a-0f7d-4540-af7b-44050e194171",
          "display": "Yves Rémy"
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        "effectiveDateTime": "2024-11-24T05:32:03Z",
        "specimen": {
          "reference": "urn:uuid:091af04a-d7c6-45d7-bdb6-7ff32c932665"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:da91c285-2225-4c06-8852-7e9dde419ceb",
      "resource": {
        "resourceType": "Observation",
        "id": "da91c285-2225-4c06-8852-7e9dde419ceb",
        "meta": {
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        "code": {
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              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 137.8,
          "unit": "mmol/L",
          "code": "mmol/L"
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              "value": 135,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 145,
              "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>24-Nov-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>137.8</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:c2deaa1a-0f7d-4540-af7b-44050e194171",
          "display": "Yves Rémy"
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        "effectiveDateTime": "2024-11-24T05:32:03Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:5ae31411-04ed-4ff9-acb9-fc93bef2597b",
      "resource": {
        "resourceType": "Observation",
        "id": "5ae31411-04ed-4ff9-acb9-fc93bef2597b",
        "meta": {
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        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2823-3",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 5,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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              "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>24-Nov-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</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": "Chloride [Moles/volume] in Serum or Plasma"
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              "code": "2028-9",
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              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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          "text": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 21.3,
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              "code": "5767-9",
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              "display": "Appearance of Urine"
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          ],
          "text": "Appearance of Urine"
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              "display": "Glucose [Mass/volume] in Urine by Test strip"
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          ],
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          "value": 0.7,
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          "text": "Glucose [Presence] in Urine by Test strip"
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          "text": "Bilirubin.total [Presence] in Urine by Test strip"
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              "display": "Ketones [Mass/volume] in Urine by Test strip"
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            "high": {
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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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          "coding": [
            {
              "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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          "value": 6.5,
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        },
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    {
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        "code": {
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              "code": "5804-0",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Protein [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 331.8,
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        "referenceRange": [
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              "value": 0,
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        ],
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              "code": "20454-5",
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        "code": {
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              "display": "Nitrite [Presence] in Urine by Test strip"
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          ],
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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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              "code": "5799-2",
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              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
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        "text": {
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              "code": "4548-4",
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              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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          ],
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              "display": "Glucose [Mass/volume] in Blood"
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          ],
          "text": "Glucose [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 98.6,
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            },
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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": "2024-11-24T06:32:03Z"
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            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
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        ],
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}