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                  {
                    "reference": "urn:uuid:8f424162-dea4-4243-a004-e1a9efb1ea4f"
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                  {
                    "reference": "urn:uuid:290c1dbb-8071-45dc-8133-16ccb5db0e24"
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                    "reference": "urn:uuid:f13ca5b9-6c21-4c50-bbfb-80486a0d5aa5"
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                    "reference": "urn:uuid:294e54ff-761c-4699-bb0f-6bc9cd1ca407"
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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>05-JAN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>85.4</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>17.5</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.0 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>10.0</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.7</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.9</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>105.7</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td><strong>21.6 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 = +</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.2 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>85.4</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>17.5</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.4 H</strong></td><td>0.7 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>10.0</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.7</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.9</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>105.7</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>21.6 L</strong></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>05-JAN-2025</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>1.8 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>0.6 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>5.7 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>6.6</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>174.3 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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                  "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>05-JAN-2025</th><th>Specimen</th><th></th></tr></thead><tbody><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td>Urine</td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td>Urine</td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td>Urine</td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td>Urine</td><td></td></tr></tbody></table></div>"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows elevated creatinine, proteinuria, glucosuria, ketonuria, and bilirubinuria, with low urine specific gravity and mildly decreased CO₂, suggesting impaired renal function (possible chronic kidney disease or acute kidney injury) and possible tubular dysfunction. Urine findings (cloudy, brown, ammoniacal) may indicate underlying urinary tract pathology. Low HbA1c with normoglycemia suggests recent changes in glucose metabolism. Recommend further nephrological evaluation and assessment for possible urinary tract or systemic disease.</td></tr></table></div>"
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          "display": "Yves Rémy"
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        "date": "2025-01-05T06:32:03Z",
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            "city": "Cannes",
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        ],
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                      "code": "FR",
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
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        "gender": "male",
        "birthDate": "1948-05-16"
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      "fullUrl": "urn:uuid:ff03af3d-c6f1-4c3b-a2a8-dbe8bc764bfd",
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        },
        "identifier": [
          {
            "system": "http://example.org",
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          {
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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",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
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          {
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                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
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          {
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                "display": "Chronic kidney disease stage 1"
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          {
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                "display": "Ischemic heart disease"
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                "display": "Metabolic syndrome X"
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            ]
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          {
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          {
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                "code": "59621000",
                "system": "http://snomed.info/sct",
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            ]
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                "code": "90560007",
                "system": "http://snomed.info/sct",
                "display": "Gout"
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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",
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        "code": {
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              "system": "http://snomed.info/sct",
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            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
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        },
        "text": {
          "status": "generated",
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        "organization": {
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        "resourceType": "Organization",
        "id": "877d7896-e41f-4180-bf2f-97b735974be6",
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          {
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              "display": "HL7 Europe"
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          {
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            "postalCode": "06150",
            "country": "France"
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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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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
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              "code": "122592007",
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              "display": "Acellular blood (serum or plasma) specimen"
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    {
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          ]
        },
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        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Urine specimen</td><td><span class=\"nb\">05-Jan-2025</span></td></tr></table></div>"
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        },
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            {
              "code": "258580003",
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              "display": "Whole blood specimen (specimen)"
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              "display": "Glucose [Mass/volume] in Serum or Plasma"
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              "value": 100,
              "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>05-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>85.4</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
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              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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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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          "value": 10,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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              "code": "mg/dL",
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              "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>05-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>10.0</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:d2d4f480-6813-4656-8d2c-fbc5b523bdcd",
          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "specimen": {
          "reference": "urn:uuid:c341a9c1-e83d-4434-bc3c-dbefeeee8253"
        }
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    },
    {
      "fullUrl": "urn:uuid:9b35dc62-ff10-4a9a-b006-1264e36cea9a",
      "resource": {
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        "category": [
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        "code": {
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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": {
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          "value": 139.7,
          "unit": "mmol/L",
          "code": "mmol/L"
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              "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>05-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.7</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:d2d4f480-6813-4656-8d2c-fbc5b523bdcd",
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:d5ecdc54-0e02-41dd-8baa-b60bb2d9764b",
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        "category": [
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        "performer": [
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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": {
          "system": "http://unitsofmeasure.org",
          "value": 4.9,
          "unit": "mmol/L",
          "code": "mmol/L"
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            "high": {
              "value": 5.1,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
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        },
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      }
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    {
      "fullUrl": "urn:uuid:43ac6628-67bc-4004-b515-f01bc44e6bdd",
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        },
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "2075-0",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Chloride [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 105.7,
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              "value": 98,
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            },
            "high": {
              "value": 107,
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              "system": "http://unitsofmeasure.org"
            }
          }
        ],
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          "status": "generated",
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        },
        "status": "final",
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "specimen": {
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      }
    },
    {
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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": {
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            {
              "code": "2028-9",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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          "text": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 21.6,
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        "referenceRange": [
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              "value": 22,
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            "high": {
              "value": 29,
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        },
        "status": "final",
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        "specimen": {
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        "category": [
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        ],
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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": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "7766007",
              "system": "http://snomed.info/sct",
              "display": "Cloudy urine"
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          ]
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      }
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    {
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        },
        "category": [
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                "code": "laboratory",
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            ]
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        ],
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "34533-0",
              "system": "http://loinc.org",
              "display": "Odor of Urine"
            }
          ],
          "text": "Odor 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>05-Jan-2025</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",
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "display": "Urine smell ammoniacal"
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          ]
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        "category": [
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                "code": "laboratory",
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            ]
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        "code": {
          "coding": [
            {
              "code": "32167-9",
              "system": "http://loinc.org",
              "display": "Clarity of Urine"
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          ],
          "text": "Clarity of Urine"
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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>05-Jan-2025</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": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "display": "Translucent"
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        "specimen": {
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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"
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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>05-Jan-2025</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": {
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "371254008",
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              "display": "Brown color"
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          ]
        },
        "specimen": {
          "reference": "urn:uuid:b90647c0-5b93-4f31-8a2a-79dac940527c"
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    {
      "fullUrl": "urn:uuid:36c702fb-b0ee-4fa0-9c22-14707787b4df",
      "resource": {
        "resourceType": "Observation",
        "id": "36c702fb-b0ee-4fa0-9c22-14707787b4df",
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
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        ],
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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": 1.8,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 0,
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            "high": {
              "value": 0.8,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>05-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.8</td><td>0 - 0.8</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:fd8c563b-bc55-4978-b85a-1ab69111a96b",
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        "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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        "code": {
          "coding": [
            {
              "code": "25428-4",
              "system": "http://loinc.org",
              "display": "Glucose [Presence] in Urine by Test strip"
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          ],
          "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>05-Jan-2025</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": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "167265006",
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              "display": "Urine glucose test = ++"
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      "fullUrl": "urn:uuid:5750e86b-b2ac-492b-a0da-25549afdd89d",
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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": "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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 0.6,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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              "value": 0,
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            "high": {
              "value": 0.4,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
        "interpretation": [
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            "coding": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>05-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>0.6</td><td>0.0 - 0.4</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "specimen": {
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    },
    {
      "fullUrl": "urn:uuid:ba1a48f8-1e69-47a5-ba1d-c277f6357eb7",
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        "meta": {
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        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "5770-3",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Presence] in Urine by Test strip"
            }
          ],
          "text": "Bilirubin.total [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>05-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "275778006",
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              "display": "Finding of bilirubin in urine"
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      }
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    {
      "fullUrl": "urn:uuid:16ccd336-bc29-403e-99bf-ec3c7395d4e4",
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        "resourceType": "Observation",
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        },
        "category": [
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            "coding": [
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                "code": "laboratory",
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          {
            "display": "The Central European Lab"
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        ],
        "code": {
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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": 5.7,
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          "code": "mg/dL"
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        "referenceRange": [
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            "low": {
              "value": 0,
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            },
            "high": {
              "value": 4,
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              "system": "http://unitsofmeasure.org"
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                "code": "H",
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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>05-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>5.7</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>05-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = +</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "167289004",
              "system": "http://snomed.info/sct",
              "display": "Urine ketone test = +"
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    {
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                "code": "laboratory",
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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": {
          "system": "http://unitsofmeasure.org",
          "value": 1,
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          "code": "1"
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        "referenceRange": [
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            "low": {
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              "code": "1",
              "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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                "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>05-Jan-2025</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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          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:e227c767-82fd-4b4b-88b8-39bc70328ead",
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        "id": "e227c767-82fd-4b4b-88b8-39bc70328ead",
        "meta": {
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        },
        "category": [
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            "coding": [
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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": "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": 6.6,
          "unit": "pH",
          "code": "pH"
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        "referenceRange": [
          {
            "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>05-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>6.6</td><td>4.5 - 8.0</td><td></td><td>pH</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:d2d4f480-6813-4656-8d2c-fbc5b523bdcd",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "specimen": {
          "reference": "urn:uuid:b90647c0-5b93-4f31-8a2a-79dac940527c"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:85362152-1656-470b-90c8-b46ec0fb15a6",
      "resource": {
        "resourceType": "Observation",
        "id": "85362152-1656-470b-90c8-b46ec0fb15a6",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "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": 174.3,
          "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": [
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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>05-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>174.3</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "reference": "urn:uuid:d2d4f480-6813-4656-8d2c-fbc5b523bdcd",
          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:21b5d047-9bca-42d3-a0f3-a2c79dc27e96",
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        "resourceType": "Observation",
        "id": "21b5d047-9bca-42d3-a0f3-a2c79dc27e96",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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            ]
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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>05-Jan-2025</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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          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "167276005",
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              "display": "Urine protein test = ++"
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        "category": [
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            ]
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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>05-Jan-2025</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",
        "subject": {
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          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "314138001",
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              "display": "Urine nitrite negative"
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      }
    },
    {
      "fullUrl": "urn:uuid:a92e927d-3485-4d1a-abb9-9cbfcec71226",
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        },
        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
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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>05-Jan-2025</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",
        "subject": {
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "167297006",
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              "display": "Urine blood test = negative"
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      }
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    {
      "fullUrl": "urn:uuid:910995f3-5ecf-4eef-ae80-e6bf875d4449",
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        },
        "category": [
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                "code": "laboratory",
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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>05-Jan-2025</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": "2025-01-05T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "394717006",
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              "display": "Urine leukocyte test negative"
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      }
    },
    {
      "fullUrl": "urn:uuid:497e3e13-805c-4e3e-a639-6597c2358127",
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        "meta": {
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        "category": [
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          }
        ],
        "performer": [
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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": {
          "system": "http://unitsofmeasure.org",
          "value": 3.2,
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            "high": {
              "value": 5.6,
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                "code": "L",
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                "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>05-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>3.2</td><td>4.0 - 5.6</td><td>L</td><td>%</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-01-05T05:32:03Z",
        "specimen": {
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        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
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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": 85.4,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
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              "code": "mg/dL",
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            "postalCode": "1000",
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}