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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>07-AUG-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>82.3</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>7.3</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.8 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>10.2</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>137.6</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>109.0 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>23.2</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.1</td><td>6.0 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.9</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>2.2 L</strong></td><td>20 - 39</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>1.2</td><td>0.3 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>31.7 L</strong></td><td>39 - 117</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>42.8 H</strong></td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>12.1</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</td><td></td><td></td></tr></tbody></table></div>"
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                "title": "Chemistry"
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>07-AUG-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>2.4</td><td>0 - 5</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td><strong>1.5 H</strong></td><td>0 - 1</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>9.7</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>5.5</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>413.5 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = +++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr></tbody></table></div>"
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Specimen information</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>07-AUG-2024</th><th>Specimen</th><th></th></tr></thead><tbody><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td>Urine</td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td>Urine</td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td>Urine</td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td>Urine</td><td></td></tr></tbody></table></div>"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows elevated serum creatinine, proteinuria, glucosuria, bilirubinuria, and abnormal urine appearance (cloudy, brown, ammoniacal), suggesting significant renal dysfunction, possibly with hepatic involvement. Elevated ALT and low alkaline phosphatase may indicate liver injury. Urine findings (low specific gravity, ketonuria) further support renal impairment. Prompt nephrology and hepatology evaluation is recommended.</td></tr></table></div>"
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            "postalCode": "M1",
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        },
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          {
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          {
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                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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                "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
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            ]
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                "display": "Anemia"
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            ]
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                "display": "Hyperglycemia"
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                "display": "Metabolic syndrome X"
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                "display": "Hypertriglyceridemia"
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            ]
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          {
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              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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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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        "status": "active",
        "intent": "order",
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              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          "display": "Tom Hayward"
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        "meta": {
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              "City Road 204"
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            "city": "Manchester",
            "postalCode": "M3 3",
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Cornbrook Medical Practice</div>"
        },
        "name": "Cornbrook Medical Practice"
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    {
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          ]
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              "display": "Whole blood specimen (specimen)"
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          ]
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    {
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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>Serum specimen</td><td><span class=\"nb\">07-Aug-2024</span></td></tr></table></div>"
        },
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              "system": "http://snomed.info/sct",
              "display": "Serum specimen"
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    {
      "fullUrl": "urn:uuid:dff13cf2-ab72-4d2d-ba8b-a56ae546fe2a",
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        },
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            {
              "code": "122575003",
              "system": "http://snomed.info/sct",
              "display": "Urine specimen"
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    {
      "fullUrl": "urn:uuid:ca6fa8fd-7e59-4c5b-b2e1-5f9a500fcd61",
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              "code": "2339-0",
              "system": "http://loinc.org",
              "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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          "unit": "mg/dL",
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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              "code": "6299-2",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
            }
          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
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        "valueQuantity": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
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        },
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        "specimen": {
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    {
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        ],
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        "code": {
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              "display": "Creatinine [Mass/volume] in Blood"
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          ],
          "text": "Creatinine [Mass/volume] in Blood"
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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>07-Aug-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>2.8</td><td>0.6 - 1.2</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2024-08-07T00:16:44Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:395d21fd-316d-49c6-87cf-4a547b95f065",
      "resource": {
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        },
        "category": [
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            ]
          }
        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "49765-1",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Blood"
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          ],
          "text": "Calcium [Mass/volume] in Blood"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 10.2,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 10.5,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
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        "text": {
          "status": "generated",
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        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2024-08-07T00:16:44Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:3791ce46-c4ff-423b-a8ef-94675d8ca068",
      "resource": {
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        "id": "3791ce46-c4ff-423b-a8ef-94675d8ca068",
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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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        "code": {
          "coding": [
            {
              "code": "2947-0",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
            }
          ],
          "text": "Sodium [Moles/volume] in Blood"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 137.6,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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            "low": {
              "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>07-Aug-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>137.6</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
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        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2024-08-07T00:16:44Z",
        "specimen": {
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    {
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              "code": "6298-4",
              "system": "http://loinc.org",
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          "value": 5,
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          "value": 109,
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          "value": 23.2,
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              "system": "http://loinc.org",
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        "valueQuantity": {
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          "value": 7.1,
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        "specimen": {
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        "code": {
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              "display": "Albumin [Mass/volume] in Serum or Plasma"
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          "value": 4.9,
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        "code": {
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              "code": "10834-0",
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              "display": "Globulin [Mass/volume] in Serum by calculation"
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          ],
          "text": "Globulin [Mass/volume] in Serum by calculation"
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        "valueQuantity": {
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          "value": 2.2,
          "unit": "g/L",
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        "referenceRange": [
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              "code": "g/L",
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            },
            "high": {
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        },
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        "specimen": {
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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"
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          ],
          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 1.2,
          "unit": "mg/dL",
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        "referenceRange": [
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            "low": {
              "value": 0.3,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
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              "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>07-Aug-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>1.2</td><td>0.3 - 1.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2024-08-07T00:16:44Z",
        "specimen": {
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        ],
        "code": {
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              "code": "6768-6",
              "system": "http://loinc.org",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 31.7,
          "unit": "U/L",
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            ]
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        ],
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        },
        "status": "final",
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        "effectiveDateTime": "2024-08-07T00:16:44Z",
        "specimen": {
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        "meta": {
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        "category": [
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        ],
        "code": {
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              "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"
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        "valueQuantity": {
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          "value": 42.8,
          "unit": "U/L",
          "code": "U/L"
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              "system": "http://unitsofmeasure.org"
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            ]
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        ],
        "text": {
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          "display": "Tom Hayward"
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        "specimen": {
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        "category": [
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        ],
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        ],
        "code": {
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              "code": "1920-8",
              "system": "http://loinc.org",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 12.1,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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              "value": 1.03,
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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": "5804-0",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Urine by Test strip"
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              "code": "20454-5",
              "system": "http://loinc.org",
              "display": "Protein [Presence] in Urine by Test strip"
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          ],
          "text": "Protein [Presence] in Urine by Test strip"
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        },
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        "code": {
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              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
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          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
        },
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        "code": {
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              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          ],
          "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>07-Aug-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td></tr></table></div>"
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        "code": {
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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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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>07-Aug-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td></tr></table></div>"
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    {
      "fullUrl": "urn:uuid:266d4bc9-2df9-48bc-a013-02c9a222f9a0",
      "resource": {
        "resourceType": "Device",
        "id": "266d4bc9-2df9-48bc-a013-02c9a222f9a0",
        "deviceName": [
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            "type": "manufacturer-name"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
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          ],
          "text": "Synthetic Example Data Generation"
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        "agent": [
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                "display": "training"
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            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2024-08-07T02:16:44Z"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 790589c5-1c4b-4ed2-9d17-6b00f0fb255f</div>"
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        "name": [
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            "family": "Ample"
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        ],
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              "Boulevard du Jardin Botanique 32"
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            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
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        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
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  "type": "document",
  "timestamp": "2024-08-07T02:16:44Z"
}