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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-NOV-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>75.9</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>16.1</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.5 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.6</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><strong>108.7 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>20.9 L</strong></td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</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>75.9</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>16.1</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>13.0 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.6</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><strong>108.7 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>20.9 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>207.1 H</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>113.0</td><td>0 - 150</td><td>mg/dL</td></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td><strong>120.6 H</strong></td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td><strong>64.0 H</strong></td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td><strong>307.2 H</strong></td><td>0 - 30</td><td>mg/g</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>23-NOV-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>2.3</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>0.6</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>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>6.9</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>433.7 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>23-NOV-2023</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 markedly elevated creatinine, proteinuria, and microalbuminuria, indicating significant renal dysfunction, possibly nephrotic syndrome or advanced chronic kidney disease. Metabolic acidosis is suggested by low CO₂ and high chloride. Urine is abnormal in appearance and composition (protein, glucose, ketones), but without infection markers. Lipid profile is atherogenic. Immediate nephrology evaluation is recommended for further assessment and management.</td></tr></table></div>"
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              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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        "identifier": [
          {
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "3376-612163-7"
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          {
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              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "8e2c4509-b594-9ec4-42db-847eccf28678"
          }
        ],
        "name": [
          {
            "given": [
              "Tom"
            ],
            "family": "Hayward",
            "text": "Tom Hayward"
          }
        ],
        "address": [
          {
            "line": [
              "391 Dean locks"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "M1",
            "city": "Manchester",
            "country": "United Kingdom"
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        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+44(0)808 1570544"
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        ],
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          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
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                    {
                      "code": "GB",
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
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        "gender": "male",
        "birthDate": "1975-04-07"
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    },
    {
      "fullUrl": "urn:uuid:241a5ded-b08c-4134-916a-a18ddb04c143",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "241a5ded-b08c-4134-916a-a18ddb04c143",
        "meta": {
          "profile": [
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        },
        "identifier": [
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            "system": "http://example.org",
            "value": "40ae209d-68d2-4d51-a58d-fba3d31250ba"
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        "specimen": [
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          {
            "reference": "urn:uuid:5b941417-243a-40cb-b49b-35e9fd78148c"
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          {
            "reference": "urn:uuid:78130e5b-cd56-4a7c-ae8c-2e9d4df99693"
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                "display": "Chronic kidney disease stage 4"
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            ]
          },
          {
            "coding": [
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                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 3"
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            ]
          },
          {
            "coding": [
              {
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                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "414545008",
                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
          },
          {
            "coding": [
              {
                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
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            ]
          },
          {
            "coding": [
              {
                "code": "90781000119102",
                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "1551000119108",
                "system": "http://snomed.info/sct",
                "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
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                "system": "http://snomed.info/sct",
                "display": "Retinopathy due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
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            ]
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          {
            "coding": [
              {
                "code": "80394007",
                "system": "http://snomed.info/sct",
                "display": "Hyperglycemia"
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            ]
          },
          {
            "coding": [
              {
                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
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            ]
          },
          {
            "coding": [
              {
                "code": "302870006",
                "system": "http://snomed.info/sct",
                "display": "Hypertriglyceridemia"
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            ]
          },
          {
            "coding": [
              {
                "code": "44054006",
                "system": "http://snomed.info/sct",
                "display": "Type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
          }
        ],
        "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"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:740285d7-6c35-41ca-aac1-9f3bedf8aaeb",
          "display": "Tom Hayward"
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        "requester": {
          "reference": "urn:uuid:51549216-ad76-46fb-9482-6e434cea7d6c"
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    {
      "fullUrl": "urn:uuid:51549216-ad76-46fb-9482-6e434cea7d6c",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "51549216-ad76-46fb-9482-6e434cea7d6c",
        "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: 51549216-ad76-46fb-9482-6e434cea7d6c</div>"
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        "organization": {
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          {
            "assigner": {
              "display": "HL7 Europe"
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          {
            "line": [
              "City Road 204"
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            "city": "Manchester",
            "postalCode": "M3 3",
            "country": "United Kingdom"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Cornbrook Medical Practice</div>"
        },
        "name": "Cornbrook Medical Practice"
      }
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    {
      "fullUrl": "urn:uuid:da50d9c8-8c1a-4e22-a360-41313ce858a9",
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        "resourceType": "Specimen",
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
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        },
        "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>Acellular blood (serum or plasma) specimen</td><td><span class=\"nb\">23-Nov-2023</span></td></tr></table></div>"
        },
        "type": {
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              "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:5b941417-243a-40cb-b49b-35e9fd78148c",
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        "id": "5b941417-243a-40cb-b49b-35e9fd78148c",
        "meta": {
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            "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\">23-Nov-2023</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122575003",
              "system": "http://snomed.info/sct",
              "display": "Urine specimen"
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          ]
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      }
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    {
      "fullUrl": "urn:uuid:78130e5b-cd56-4a7c-ae8c-2e9d4df99693",
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
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        },
        "collection": {
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        },
        "type": {
          "coding": [
            {
              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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          ]
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      }
    },
    {
      "fullUrl": "urn:uuid:230558c1-36a3-464c-8557-d8c18c1e438a",
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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": {
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          "value": 75.9,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
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            },
            "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>23-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>75.9</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
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          "display": "Tom Hayward"
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        "specimen": {
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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"
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          "text": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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          "value": 16.1,
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        },
        "status": "final",
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          "display": "Tom Hayward"
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        "specimen": {
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      "fullUrl": "urn:uuid:47ea4fd4-84a2-4d03-8faa-fddfcd3f8f9a",
      "resource": {
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        "id": "47ea4fd4-84a2-4d03-8faa-fddfcd3f8f9a",
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        "code": {
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              "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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          "value": 2.5,
          "unit": "mg/dL",
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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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        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
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          "display": "Tom Hayward"
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:46154ddd-5e25-4482-b019-ee65e1ac09f7",
      "resource": {
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        "category": [
          {
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              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "17861-6",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Calcium [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 9.1,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 8.5,
              "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>23-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.1</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:740285d7-6c35-41ca-aac1-9f3bedf8aaeb",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2023-11-23T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:da50d9c8-8c1a-4e22-a360-41313ce858a9"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d91be6ea-9dd5-4719-9926-67c3efe96b55",
      "resource": {
        "resourceType": "Observation",
        "id": "d91be6ea-9dd5-4719-9926-67c3efe96b55",
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        "category": [
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            "coding": [
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                "code": "laboratory",
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            ]
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        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "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": 139.6,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
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              "value": 135,
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            "high": {
              "value": 145,
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              "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-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.6</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
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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"
        },
        "valueQuantity": {
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          "value": 4,
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          "code": "mmol/L"
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        "referenceRange": [
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            "low": {
              "value": 3.5,
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.1,
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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>23-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.0</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:026bcf72-76f5-4308-993b-a184946841a2",
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "2075-0",
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              "display": "Chloride [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Chloride [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 108.7,
          "unit": "mmol/L",
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        "referenceRange": [
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            "high": {
              "value": 107,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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        ],
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        },
        "status": "final",
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          "display": "Tom Hayward"
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        "specimen": {
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    },
    {
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                "code": "laboratory",
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "2028-9",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 20.9,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 32,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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                "display": "Low"
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        ],
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          "status": "generated",
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        },
        "status": "final",
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        "specimen": {
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        "code": {
          "coding": [
            {
              "code": "5767-9",
              "system": "http://loinc.org",
              "display": "Appearance of Urine"
            }
          ],
          "text": "Appearance of Urine"
        },
        "text": {
          "status": "generated",
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        },
        "status": "final",
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          "display": "Tom Hayward"
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        "valueCodeableConcept": {
          "coding": [
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              "code": "7766007",
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              "display": "Cloudy urine"
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          ]
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "34533-0",
              "system": "http://loinc.org",
              "display": "Odor of Urine"
            }
          ],
          "text": "Odor of Urine"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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        "effectiveDateTime": "2023-11-23T06:17:44Z",
        "valueCodeableConcept": {
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              "display": "Urine smell ammoniacal"
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          ]
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      "fullUrl": "urn:uuid:63080055-1019-4d1e-96c2-1e52da9fe418",
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "32167-9",
              "system": "http://loinc.org",
              "display": "Clarity of Urine"
            }
          ],
          "text": "Clarity of Urine"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Clarity of Urine</td><td>Translucent</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2023-11-23T06:17:44Z",
        "valueCodeableConcept": {
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              "display": "Translucent"
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          ]
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        "specimen": {
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        },
        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5778-6",
              "system": "http://loinc.org",
              "display": "Color of Urine"
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          ],
          "text": "Color of Urine"
        },
        "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>23-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Color of Urine</td><td>Brown color</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:740285d7-6c35-41ca-aac1-9f3bedf8aaeb",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2023-11-23T06:17:44Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "371254008",
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              "display": "Brown color"
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          ]
        },
        "specimen": {
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        }
      }
    },
    {
      "fullUrl": "urn:uuid:9133a5dd-baa0-4ae7-a12c-c4620b862cd1",
      "resource": {
        "resourceType": "Observation",
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        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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        ],
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "5792-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Glucose [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 2.3,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
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            "high": {
              "value": 5,
              "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>23-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>2.3</td><td>0 - 5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2023-11-23T06:17:44Z",
        "specimen": {
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "25428-4",
              "system": "http://loinc.org",
              "display": "Glucose [Presence] in Urine by Test strip"
            }
          ],
          "text": "Glucose [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2023-11-23T06:17:44Z",
        "valueCodeableConcept": {
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              "code": "167265006",
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              "display": "Urine glucose test = ++"
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        "category": [
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "20505-4",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 0.6,
          "unit": "mg/dL",
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        "referenceRange": [
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            "high": {
              "value": 1,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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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": "2023-11-23T06:17:44Z",
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              "code": "5770-3",
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              "display": "Bilirubin.total [Presence] in Urine by Test strip"
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          "text": "Bilirubin.total [Presence] in Urine by Test strip"
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        ],
        "code": {
          "coding": [
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              "code": "5797-6",
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              "display": "Ketones [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Ketones [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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              "code": "2514-8",
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              "display": "Ketones [Presence] in Urine by Test strip"
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          ],
          "text": "Ketones [Presence] in Urine by Test strip"
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          "coding": [
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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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          "value": 1,
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              "code": "5803-2",
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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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          "value": 433.7,
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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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        "code": {
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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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              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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          ],
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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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          "value": 3.3,
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                "display": "Low"
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            ]
          }
        ],
        "text": {
          "status": "generated",
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
            }
          ],
          "text": "Glucose [Mass/volume] in Blood"
        },
        "valueQuantity": {
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          "value": 75.9,
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            "high": {
              "value": 100,
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        "code": {
          "coding": [
            {
              "code": "6299-2",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
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          ],
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        "valueQuantity": {
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          "value": 16.1,
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        "code": {
          "coding": [
            {
              "code": "38483-4",
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              "display": "Creatinine [Mass/volume] in Blood"
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          ],
          "text": "Creatinine [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 13,
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            "high": {
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        "code": {
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            {
              "code": "49765-1",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Blood"
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          ],
          "text": "Calcium [Mass/volume] in Blood"
        },
        "valueQuantity": {
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          "value": 9.1,
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            "high": {
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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"
        },
        "valueQuantity": {
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          "value": 139.6,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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              "value": 135,
              "code": "mmol/L",
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            },
            "high": {
              "value": 145,
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              "system": "http://unitsofmeasure.org"
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        "specimen": {
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        ],
        "code": {
          "coding": [
            {
              "code": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
            }
          ],
          "text": "Potassium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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            "low": {
              "value": 3.5,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.1,
              "code": "mmol/L",
              "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>23-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.0</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:52e26a87-7ddd-4fc0-8ccf-927f035608d6",
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        "id": "52e26a87-7ddd-4fc0-8ccf-927f035608d6",
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        },
        "category": [
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                "code": "laboratory",
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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": 108.7,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
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            "low": {
              "value": 98,
              "code": "mmol/L",
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            "high": {
              "value": 107,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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        "interpretation": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
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            ]
          }
        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2023-11-23T06:17:44Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:19d83fc0-a763-4f59-b7ef-a1df48071ac1",
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "20565-8",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 20.9,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 29,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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        ],
        "interpretation": [
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                "display": "Low"
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        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
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          "display": "Tom Hayward"
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        "specimen": {
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      "fullUrl": "urn:uuid:6e22755f-06e2-4f82-ab0f-d0acd9d11d2c",
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        "meta": {
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        "category": [
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 207.1,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 125,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 200,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
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            "coding": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>23-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>207.1</td><td>125 - 200</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": "2023-11-23T06:17:44Z",
        "specimen": {
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      "fullUrl": "urn:uuid:ea1bae33-bb89-4457-aa3d-caf9f5b79e46",
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          "text": "Synthetic Example Data Generation"
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            "postalCode": "1000",
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  "timestamp": "2023-11-23T07:17:44Z"
}