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                    "reference": "urn:uuid:52981f42-6f1f-4600-8339-b93e94450297"
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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>17-SEP-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td><strong>68.8 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>18.5</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.7 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.4</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>143.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.2</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>110.3 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>23.0</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = trace</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>6.1 H</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>68.8 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>18.5</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>1.2</td><td>0.7 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.4</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>143.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.2</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>110.3 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>23.0</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>17-SEP-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>1.0 H</strong></td><td>0 - 0.8</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td><strong>0.9 H</strong></td><td>0.0 - 0.4</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td><strong>8.3 H</strong></td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>6.4</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>93.4 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>17-SEP-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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              "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 mild hypoglycemia, elevated creatinine, and high chloride, suggesting possible renal impairment and electrolyte imbalance. Urinalysis reveals proteinuria, glucosuria, ketonuria, bilirubinuria, low specific gravity, and abnormal urine appearance, indicating possible diabetic nephropathy and/or urinary tract pathology. HbA1c is elevated, consistent with suboptimal glycemic control. Recommend further evaluation for renal function, diabetes management, and assessment for urinary tract infection or other urinary pathology.</td></tr></table></div>"
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        "date": "2017-09-17T07:32:03Z",
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        "gender": "male",
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          "profile": [
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        },
        "identifier": [
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          {
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          {
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          {
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          {
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                "system": "http://snomed.info/sct",
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            ]
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                "display": "Chronic kidney disease stage 1"
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                "display": "Osteoporosis"
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                "display": "Metabolic syndrome X"
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          {
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                "system": "http://snomed.info/sct",
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                "code": "90560007",
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                "display": "Gout"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 7a45356d-e129-4272-b425-7cf9c917d678</div>"
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        "organization": {
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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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          {
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            "postalCode": "06150",
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        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Clinique du Méridien</div>"
        },
        "name": "Clinique du Méridien"
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          ]
        },
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              "display": "Acellular blood (serum or plasma) specimen"
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        },
        "collection": {
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              "display": "Glucose [Mass/volume] in Serum or Plasma"
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              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          "value": 143.4,
          "unit": "mmol/L",
          "code": "mmol/L"
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              "code": "mmol/L",
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              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
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          "value": 4.2,
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              "display": "Chloride [Moles/volume] in Serum or Plasma"
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              "display": "Glucose [Mass/volume] in Urine by Test strip"
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          "value": 1,
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        "valueQuantity": {
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        "text": {
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          "text": "Bilirubin.total [Presence] in Urine by Test strip"
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              "code": "5797-6",
              "system": "http://loinc.org",
              "display": "Ketones [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Ketones [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 8.3,
          "unit": "mg/dL",
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        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 4,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
        "interpretation": [
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            "coding": [
              {
                "code": "H",
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                "display": "High"
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            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>17-Sep-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>8.3</td><td>0 - 4</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
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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": "2514-8",
              "system": "http://loinc.org",
              "display": "Ketones [Presence] in Urine by Test strip"
            }
          ],
          "text": "Ketones [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>17-Sep-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = trace</td></tr></table></div>"
        },
        "status": "final",
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        "valueCodeableConcept": {
          "coding": [
            {
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              "display": "Urine ketone test = trace"
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    {
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5811-5",
              "system": "http://loinc.org",
              "display": "Specific gravity of Urine by Test strip"
            }
          ],
          "text": "Specific gravity of Urine by Test strip"
        },
        "valueQuantity": {
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          "value": 1,
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          "code": "1"
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        "referenceRange": [
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            "low": {
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              "system": "http://unitsofmeasure.org",
              "unit": "Specific Gravity"
            },
            "high": {
              "value": 1.03,
              "code": "1",
              "system": "http://unitsofmeasure.org",
              "unit": "Specific Gravity"
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          }
        ],
        "interpretation": [
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            "coding": [
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                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
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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>17-Sep-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Specific gravity of Urine by Test strip</td><td>1.0</td><td>1.005 - 1.030</td><td>L</td><td>{nominal}</td></tr></table></div>"
        },
        "status": "final",
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      }
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    {
      "fullUrl": "urn:uuid:c99eb779-84a9-455c-b645-71be13276a99",
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        },
        "category": [
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            ]
          }
        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5803-2",
              "system": "http://loinc.org",
              "display": "pH of Urine by Test strip"
            }
          ],
          "text": "pH of Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 6.4,
          "unit": "pH",
          "code": "pH"
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        "referenceRange": [
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            "low": {
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              "code": "pH",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 8,
              "code": "pH",
              "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>17-Sep-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>6.4</td><td>4.5 - 8.0</td><td></td><td>pH</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9541194a-cec8-4380-88af-b38f6084816f",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2017-09-17T05:32:03Z",
        "specimen": {
          "reference": "urn:uuid:a01282a5-be5d-4b26-8860-2a09ea758b8a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0b07229f-f8fb-45a6-b41a-18b08c35ef1c",
      "resource": {
        "resourceType": "Observation",
        "id": "0b07229f-f8fb-45a6-b41a-18b08c35ef1c",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "5804-0",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Protein [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 93.4,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 20,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "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>17-Sep-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>93.4</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9541194a-cec8-4380-88af-b38f6084816f",
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        "effectiveDateTime": "2017-09-17T05:32:03Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:2a4e6d32-4617-4d6c-b5c1-970d1fc84a44",
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        "resourceType": "Observation",
        "id": "2a4e6d32-4617-4d6c-b5c1-970d1fc84a44",
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        },
        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "20454-5",
              "system": "http://loinc.org",
              "display": "Protein [Presence] in Urine by Test strip"
            }
          ],
          "text": "Protein [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>17-Sep-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = +</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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        "effectiveDateTime": "2017-09-17T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "display": "Urine protein test = +"
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
            }
          ],
          "text": "Nitrite [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>17-Sep-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2017-09-17T05:32:03Z",
        "valueCodeableConcept": {
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              "display": "Urine nitrite negative"
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      "fullUrl": "urn:uuid:165d0553-17ef-4a64-a66c-a7262557fdd1",
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
            }
          ],
          "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>17-Sep-2017</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>"
        },
        "status": "final",
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          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2017-09-17T05:32:03Z",
        "valueCodeableConcept": {
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              "display": "Urine blood test = negative"
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    },
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            ]
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
            }
          ],
          "text": "Leukocyte esterase [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>17-Sep-2017</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>"
        },
        "status": "final",
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2017-09-17T05:32:03Z",
        "valueCodeableConcept": {
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              "display": "Urine leukocyte test negative"
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      }
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    {
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
            }
          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
        },
        "valueQuantity": {
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          "value": 6.1,
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            "high": {
              "value": 5.6,
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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>17-Sep-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>6.1</td><td>4.0 - 5.6</td><td>H</td><td>%</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2017-09-17T05:32:03Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:5aaba571-df41-421a-a4f2-9ca132797213",
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        "category": [
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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": {
          "system": "http://unitsofmeasure.org",
          "value": 68.8,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
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          "value": 110.3,
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        "agent": [
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                "display": "training"
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            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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        "recorded": "2017-09-17T07:32:03Z"
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      "fullUrl": "urn:uuid:dfd8d096-6baf-4669-a71a-d145888cd73a",
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        "meta": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: dfd8d096-6baf-4669-a71a-d145888cd73a</div>"
        },
        "practitioner": {
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        },
        "identifier": [
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "d35680c8-8c47-4387-b19c-73e94caf8ef5"
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        "name": [
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            "given": [
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        ],
        "address": [
          {
            "line": [
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              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
        }
      }
    }
  ],
  "type": "document",
  "timestamp": "2017-09-17T07:32:03Z"
}