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            "section": [
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                "code": {
                  "coding": [
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                      "code": "18719-5",
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                      "display": "Chemistry studies (set)"
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                  "text": "Chemistry"
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                    "reference": "urn:uuid:2a4ce82e-1b19-4c1b-8f93-04beb3f06da4"
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                    "reference": "urn:uuid:992a6cee-7e24-454a-b860-3eb0982fd7ef"
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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-AUG-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>64.3 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>9.0</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>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.5</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>138.3</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>3.9</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>103.5</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>21.7 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 negative</td><td></td><td></td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
                "code": {
                  "coding": [
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                      "code": "18729-4",
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                      "display": "Urinalysis studies (set)"
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                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>24-AUG-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td><strong>2.2 H</strong></td><td>0 - 0</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>0.3</td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>2.2</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><strong>5.0 L</strong></td><td>5.5 - 7.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>275.0 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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                    "reference": "urn:uuid:9f9e155c-f7f1-4b87-ab61-b956305f3455"
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                    "reference": "urn:uuid:7cb4475c-eee1-4348-a9be-c96776b76107"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Specimen information</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>24-AUG-2021</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>Appearance 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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          },
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            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows hypoglycemia, elevated creatinine indicating impaired renal function, and metabolic acidosis (low CO₂). Urinalysis reveals significant proteinuria, glycosuria, ketonuria, low specific gravity, acidic pH, and abnormal urine appearance, suggesting nephrotic syndrome or diabetic nephropathy with possible tubular dysfunction. No evidence of urinary tract infection. Recommend urgent nephrology evaluation and assessment for underlying diabetes and renal disease.</td></tr></table></div>"
            },
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                  "code": "48767-8",
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            "title": "Annotation comment"
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          "status": "empty",
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          "display": "Atenulf Sorrentino"
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        "date": "2021-08-24T23:13:38Z",
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          "display": "Atenulf Sorrentino"
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              "code": "TRAIN"
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              "code": "synthetic",
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "5852-163953-2"
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                  "code": "MR",
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              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "952535d8-ee60-c1a3-3648-121dcc401078"
          }
        ],
        "name": [
          {
            "given": [
              "Atenulf"
            ],
            "family": "Sorrentino",
            "text": "Atenulf Sorrentino"
          }
        ],
        "address": [
          {
            "line": [
              "Incrocio Passalacqua, 412"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "09010",
            "city": "Domusnovas Canales",
            "country": "Italy"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "3438458994"
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        ],
        "extension": [
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            "extension": [
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                "url": "code",
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                      "code": "IT",
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Atenulf Sorrentino</td><td>male</td><td>29-Aug-1965</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1965-08-29"
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        ],
        "reasonCode": [
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                "code": "157141000119108",
                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
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                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
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          {
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                "display": "Metabolic syndrome X"
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            ]
          },
          {
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                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
              }
            ]
          },
          {
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              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
          }
        ],
        "text": {
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        "status": "active",
        "intent": "order",
        "code": {
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              "code": "108252007",
              "system": "http://snomed.info/sct",
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 8d3de7cc-cd4a-42a4-821a-c5aaad276bbc</div>"
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              "display": "HL7 Europe"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Azienda Sanitaria Locale n° 7 Musei</div>"
        },
        "name": "Azienda Sanitaria Locale n° 7 Musei"
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          "status": "generated",
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        "text": {
          "status": "generated",
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              "display": "Glucose [Mass/volume] in Blood"
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          "value": 64.3,
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            {
              "code": "6299-2",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 9,
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              "system": "http://unitsofmeasure.org"
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              "system": "http://loinc.org",
              "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": 2.7,
          "unit": "mg/dL",
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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"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 9.5,
          "unit": "mg/dL",
          "code": "mg/dL"
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            "high": {
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              "system": "http://unitsofmeasure.org"
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        ],
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>24-Aug-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.5</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
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        "status": "final",
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        "effectiveDateTime": "2021-08-24T21:13:38Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:fec8fff5-0566-46ca-8037-2fc3f5e32633",
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        "id": "fec8fff5-0566-46ca-8037-2fc3f5e32633",
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        "category": [
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        ],
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        "code": {
          "coding": [
            {
              "code": "2947-0",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
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          ],
          "text": "Sodium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 138.3,
          "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>24-Aug-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>138.3</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
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        "status": "final",
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          "display": "Atenulf Sorrentino"
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        "effectiveDateTime": "2021-08-24T21:13:38Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:5ae899f9-69ac-4529-8064-52cf93b8f542",
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        "category": [
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        ],
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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": 3.9,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "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"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>24-Aug-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>3.9</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Atenulf Sorrentino"
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        "effectiveDateTime": "2021-08-24T21:13:38Z",
        "specimen": {
          "reference": "urn:uuid:ddb06ba6-261c-495b-b04c-670b9a322855"
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      }
    },
    {
      "fullUrl": "urn:uuid:efe1d61e-5a18-4f08-8222-045390973cd8",
      "resource": {
        "resourceType": "Observation",
        "id": "efe1d61e-5a18-4f08-8222-045390973cd8",
        "meta": {
          "profile": [
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        },
        "category": [
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                "code": "laboratory",
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        ],
        "performer": [
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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": 103.5,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 98,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 107,
              "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-Aug-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>103.5</td><td>98 - 107</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:29017aa8-abc6-4b67-8720-efee70f41fbb",
          "display": "Atenulf Sorrentino"
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        "effectiveDateTime": "2021-08-24T21:13:38Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:606cc1f9-9d72-4894-80cf-38ff82e7b9e2",
      "resource": {
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        "id": "606cc1f9-9d72-4894-80cf-38ff82e7b9e2",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
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            "display": "The Central European Lab"
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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": 21.7,
          "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"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>24-Aug-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>21.7</td><td>22 - 29</td><td>L</td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:29017aa8-abc6-4b67-8720-efee70f41fbb",
          "display": "Atenulf Sorrentino"
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        "effectiveDateTime": "2021-08-24T21:13:38Z",
        "specimen": {
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      }
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    {
      "fullUrl": "urn:uuid:f5623eaa-94a7-457c-b751-37f3d27bcaf5",
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        "meta": {
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        "category": [
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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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              "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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          "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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              "display": "Urine nitrite negative"
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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>24-Aug-2021</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",
              "system": "http://loinc.org",
              "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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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>24-Aug-2021</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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        "status": "final",
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
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          "text": "Synthetic Example Data Generation"
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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>"
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        "recorded": "2021-08-24T23:13:38Z"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: c27b5732-79f2-41eb-945f-c201f29c6585</div>"
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        "practitioner": {
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            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
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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": "2021-08-24T23:13:38Z"
}
