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          "coding": [
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              "code": "11502-2",
              "system": "http://loinc.org",
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        },
        "section": [
          {
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                {
                  "code": "26436-6",
                  "system": "http://loinc.org",
                  "display": "Laboratory studies (set)"
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              ],
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            "section": [
              {
                "code": {
                  "coding": [
                    {
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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>12-JUN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</td><td></td><td></td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
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              {
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                      "display": "Urinalysis studies (set)"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>12-JUN-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>13.5</td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>6.3</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>13.4</td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite positive</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = +</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test</td><td></td><td></td></tr><tr><td>Leukocytes [#/area] in Urine sediment by Microscopy high power field</td><td><strong>47.8 H</strong></td><td>0 - 5</td><td>/[HPF]</td></tr><tr><td>Erythrocytes [#/area] in Urine sediment by Microscopy high power field</td><td>1.1</td><td>0 - 5</td><td>/[HPF]</td></tr><tr><td>Epithelial cells [#/area] in Urine sediment by Microscopy high power field</td><td>1.1</td><td>0 - 5</td><td>/[HPF]</td></tr><tr><td>Casts [Presence] in Urine sediment by Light microscopy</td><td>Urine microscopy: no casts</td><td></td><td></td></tr><tr><td>Mucus [Presence] in Urine sediment by Light microscopy</td><td>Mucus in urine</td><td></td><td></td></tr><tr><td>Bacteria [#/area] in Urine sediment by Microscopy high power field</td><td>Finding of presence of bacteria</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>Microbiology</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>12-JUN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Bacteria identified in Urine by Culture</td><td></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>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>Urinalysis shows significant leukocyturia, positive nitrites, bacteriuria, and &gt;100,000 CFU/mL E. coli, indicating a urinary tract infection. Presence of hematuria and proteinuria is noted. Low specific gravity may suggest dilute urine. No ketones or casts detected. Recommend clinical correlation and consideration of antibiotic therapy based on sensitivity testing.</td></tr></table></div>"
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            "title": "Annotation comment"
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          "reference": "urn:uuid:a76ed29a-a617-43ef-8ab9-8d47a4d01228",
          "display": "Ahmed Wirth"
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        "date": "2025-06-12T03:38:07Z",
        "title": "Laboratory Report",
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          "status": "empty",
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          "reference": "urn:uuid:a76ed29a-a617-43ef-8ab9-8d47a4d01228",
          "display": "Ahmed Wirth"
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        "meta": {
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              "code": "HTEST"
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              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          "tag": [
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              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          "profile": [
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          {
            "type": {
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                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "c594c462-da31-9fab-0316-acdd66d1c0d5"
          }
        ],
        "name": [
          {
            "given": [
              "Ahmed"
            ],
            "family": "Wirth",
            "text": "Ahmed Wirth"
          }
        ],
        "address": [
          {
            "line": [
              "Faruk-Zobel-Weg 7090"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "96317",
            "city": "Kronach",
            "country": "Germany"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "06478333493"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "DE",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Ahmed Wirth</td><td>male</td><td>02-Oct-1948</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1948-10-02"
      }
    },
    {
      "fullUrl": "urn:uuid:4c40ce30-64d6-4b0e-80c4-5913ac832eb5",
      "resource": {
        "resourceType": "ServiceRequest",
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
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            ]
          },
          {
            "coding": [
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                "code": "90781000119102",
                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
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                "display": "Hyperlipidemia"
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            ]
          },
          {
            "coding": [
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                "code": "40055000",
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                "display": "Chronic sinusitis"
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            ]
          },
          {
            "coding": [
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                "code": "414545008",
                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
              }
            ]
          },
          {
            "coding": [
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                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
          },
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
              }
            ]
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          ]
        },
        "subject": {
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          "display": "Ahmed Wirth"
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        "requester": {
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      }
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      "fullUrl": "urn:uuid:d0d89af8-6a8a-4d28-9a14-e4f81f7456ee",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "d0d89af8-6a8a-4d28-9a14-e4f81f7456ee",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: d0d89af8-6a8a-4d28-9a14-e4f81f7456ee</div>"
        },
        "organization": {
          "reference": "urn:uuid:e7c88172-e79a-4aee-b4a1-4a7000d5ef3f"
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      }
    },
    {
      "fullUrl": "urn:uuid:e7c88172-e79a-4aee-b4a1-4a7000d5ef3f",
      "resource": {
        "resourceType": "Organization",
        "id": "e7c88172-e79a-4aee-b4a1-4a7000d5ef3f",
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        "identifier": [
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            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "0af100ac-e99a-4a82-9dd6-4a7422820f89"
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        ],
        "address": [
          {
            "line": [
              "Friesener Straße 41"
            ],
            "city": "Kronach",
            "postalCode": "96317",
            "country": "Germany"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Medizinisches Versorgungszentrum Kronach</div>"
        },
        "name": "Medizinisches Versorgungszentrum Kronach"
      }
    },
    {
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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\">12-Jun-2025</span></td></tr></table></div>"
        },
        "type": {
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              "code": "122575003",
              "system": "http://snomed.info/sct",
              "display": "Urine specimen"
            }
          ]
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      }
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        },
        "collection": {
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        },
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        "code": {
          "coding": [
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              "code": "5794-3",
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              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          "text": "Hemoglobin [Presence] in Urine by Test strip"
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              "code": "5799-2",
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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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              "code": "5821-4",
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              "display": "Leukocytes [#/area] in Urine sediment by Microscopy high power field"
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          ],
          "text": "Leukocytes [#/area] in Urine sediment by Microscopy high power field"
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        "valueQuantity": {
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              "code": "13945-1",
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              "display": "Erythrocytes [#/area] in Urine sediment by Microscopy high power field"
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          ],
          "text": "Erythrocytes [#/area] in Urine sediment by Microscopy high power field"
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