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                  {
                    "reference": "urn:uuid:6704e202-f428-45f1-8df6-f263ea9ca3b0"
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                  {
                    "reference": "urn:uuid:e60ab6a1-202a-447a-b2b1-5ff4f7651ede"
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                  {
                    "reference": "urn:uuid:7a5461b9-deff-42f8-bda0-24b22450c679"
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                    "reference": "urn:uuid:36562c9f-ab16-4e80-8d3b-703c8e23a549"
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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>01-DEC-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>99.1</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>19.6</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.9 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>8.6</td><td>8.6 - 10.2</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>141.3</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>108.4 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>23.8</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = +</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>2.9 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>99.1</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>19.6</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>1.4 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.6</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>141.3</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>108.4</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>23.8</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
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                  "text": "Urinalysis"
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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>01-DEC-2017</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>1.2</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>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>6.6</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>277.8 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr></tbody></table></div>"
                },
                "title": "Urinalysis"
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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>01-DEC-2017</th><th>Specimen</th><th></th></tr></thead><tbody><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td>Urine</td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td>Urine</td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td>Urine</td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td>Urine</td><td></td></tr></tbody></table></div>"
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              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows elevated creatinine, proteinuria, and glucosuria with low urine specific gravity, suggesting possible renal impairment (likely glomerular origin). Urine is cloudy, brown, and ammoniacal, but no evidence of infection (negative nitrites/leukocytes). HbA1c is low, which may be due to analytical or clinical factors. Recommend further renal evaluation and correlation with clinical findings; consider repeat HbA1c and assessment for possible hemolytic anemia or other causes of low HbA1c.</td></tr></table></div>"
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        "subject": {
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          "display": "Angela Bauer"
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        "date": "2017-12-01T12:23:19Z",
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            "use": "home",
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            "postalCode": "6240",
            "city": "Rattenberg",
            "country": "Austria"
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        ],
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                  "coding": [
                    {
                      "code": "AT",
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Angela Bauer</td><td>female</td><td>08-Dec-1968</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1968-12-08"
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    },
    {
      "fullUrl": "urn:uuid:dcfd8872-477b-4c3d-b273-1c723d59df7b",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "dcfd8872-477b-4c3d-b273-1c723d59df7b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"
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        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "3aeca810-211d-48d9-9f4c-11df6cb3def5"
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        ],
        "specimen": [
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          {
            "reference": "urn:uuid:b7100182-1fa2-4871-88a2-d18c0f2d7939"
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          {
            "reference": "urn:uuid:bba7fbc3-bee0-42f1-bd50-9004c90e9e82"
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        ],
        "reasonCode": [
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              {
                "code": "433144002",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 3"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "157141000119108",
                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
              }
            ]
          },
          {
            "coding": [
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                "code": "239872002",
                "system": "http://snomed.info/sct",
                "display": "Osteoarthritis of hip"
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            ]
          },
          {
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                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
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            ]
          },
          {
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            ]
          },
          {
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                "code": "127013003",
                "system": "http://snomed.info/sct",
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            ]
          },
          {
            "coding": [
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                "display": "Chronic kidney disease stage 1"
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            ]
          },
          {
            "coding": [
              {
                "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",
        "code": {
          "coding": [
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              "code": "108252007",
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              "display": "Laboratory procedure"
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          ]
        },
        "subject": {
          "reference": "urn:uuid:1b15ef91-0820-40b8-9d22-cc5c85e381e1",
          "display": "Angela Bauer"
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        "meta": {
          "profile": [
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        },
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          "status": "generated",
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          {
            "assigner": {
              "display": "HL7 Europe"
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
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          {
            "line": [
              "Karl-Mauracher-Weg 26"
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            "city": "Fügen",
            "postalCode": "6263",
            "country": "Austria"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Dr. Gerald Mair</div>"
        },
        "name": "Dr. Gerald Mair"
      }
    },
    {
      "fullUrl": "urn:uuid:b558232c-32a8-4062-83d7-14540f8a1e0c",
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          ]
        },
        "collection": {
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        },
        "text": {
          "status": "generated",
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        },
        "type": {
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              "display": "Acellular blood (serum or plasma) specimen"
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      }
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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>Urine specimen</td><td><span class=\"nb\">01-Dec-2017</span></td></tr></table></div>"
        },
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              "code": "122575003",
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    {
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          ]
        },
        "collection": {
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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>Specimen</th><th>Collection Date</th></tr><tr><td>Whole blood specimen (specimen)</td><td><span class=\"nb\">01-Dec-2017</span></td></tr></table></div>"
        },
        "type": {
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              "code": "258580003",
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              "display": "Whole blood specimen (specimen)"
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          ]
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    {
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            {
              "code": "2345-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Glucose [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 99.1,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>01-Dec-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>99.1</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Angela Bauer"
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        "effectiveDateTime": "2017-12-01T11:23:19Z",
        "specimen": {
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        },
        "category": [
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            ]
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        ],
        "code": {
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            {
              "code": "3094-0",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Urea nitrogen [Mass/volume] in Serum or Plasma"
        },
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          "value": 19.6,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 20,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
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          "status": "generated",
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        },
        "status": "final",
        "subject": {
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          "display": "Angela Bauer"
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        "effectiveDateTime": "2017-12-01T11:23:19Z",
        "specimen": {
          "reference": "urn:uuid:b558232c-32a8-4062-83d7-14540f8a1e0c"
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      }
    },
    {
      "fullUrl": "urn:uuid:fa732bcf-79a2-4c5a-8c6e-476d5ceee8c4",
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        },
        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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        ],
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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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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1.9,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 1.1,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
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                "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>01-Dec-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td>1.9</td><td>0.5 - 1.1</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Angela Bauer"
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        "specimen": {
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      }
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    {
      "fullUrl": "urn:uuid:056ebd1f-2379-4880-a813-d19be1b90598",
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        "category": [
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            ]
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        ],
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        "code": {
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            {
              "code": "17861-6",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Calcium [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 8.6,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 10.2,
              "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>01-Dec-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>8.6</td><td>8.6 - 10.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Angela Bauer"
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        "effectiveDateTime": "2017-12-01T11:23:19Z",
        "specimen": {
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      }
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    {
      "fullUrl": "urn:uuid:bc75ad34-4a9e-45b0-b2cb-6e6d4dbdfe27",
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        "code": {
          "coding": [
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              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 141.3,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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              "value": 135,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 145,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>01-Dec-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>141.3</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Angela Bauer"
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        "effectiveDateTime": "2017-12-01T11:23:19Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:c16a8631-d595-4cc0-8f52-882757f212f0",
      "resource": {
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        "id": "c16a8631-d595-4cc0-8f52-882757f212f0",
        "meta": {
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        "category": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2823-3",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4.1,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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              "code": "mmol/L",
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            },
            "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>01-Dec-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.1</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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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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              "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": 277.8,
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          "text": "Nitrite [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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          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
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}