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                  {
                    "reference": "urn:uuid:5baafef0-027e-4633-a458-8c3f631c993f"
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                  {
                    "reference": "urn:uuid:e9bbaa4a-f391-42e3-b298-c88bdad50f27"
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>02-MAR-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><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>9.7</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.4 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.3</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.0</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.4</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>104.9</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>24.4</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>7.5</td><td>6.0 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>3.5</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>3.0 L</strong></td><td>20 - 39</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>1.0</td><td>0.3 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>119.7 H</strong></td><td>39 - 117</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>33.6</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>7.7 L</strong></td><td>10 - 40</td><td>U/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</td><td></td><td></td></tr></tbody></table></div>"
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                "title": "Chemistry"
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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>02-MAR-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>1.6</td><td>0 - 5</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>0.8</td><td>0 - 1</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>3.0</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>5.6</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>417.3 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>"
                },
                "title": "Urinalysis"
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                  "text": "Specimen information"
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                "entry": [
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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>02-MAR-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 serum creatinine and proteinuria, suggesting impaired renal function. Urine findings (cloudy, brown, low specific gravity, protein, glucose, ketones, bilirubin) further support possible nephropathy, possibly with tubular dysfunction. Mild hypoglycemia and low serum globulin are noted. Liver enzymes are mostly normal except for mildly elevated alkaline phosphatase. No evidence of urinary tract infection. Recommend nephrology evaluation and further assessment for underlying renal and metabolic disorders.</td></tr></table></div>"
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        "date": "2025-03-02T12:43:44Z",
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          "reference": "urn:uuid:f8936ff4-cf31-4fd0-b92b-83a901bf3cd7",
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        "address": [
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            "use": "home",
            "type": "physical",
            "postalCode": "M1",
            "city": "Manchester",
            "country": "United Kingdom"
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        ],
        "telecom": [
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        ],
        "extension": [
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                  ]
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              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Tom Hayward</td><td>male</td><td>07-Apr-1975</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1975-04-07"
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          "profile": [
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        },
        "identifier": [
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          {
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          {
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                "display": "Ischemic heart disease"
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            ]
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          {
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              {
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                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
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          {
            "coding": [
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          {
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          {
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                "system": "http://snomed.info/sct",
                "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
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            ]
          },
          {
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                "system": "http://snomed.info/sct",
                "display": "Retinopathy due to type 2 diabetes mellitus"
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            ]
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                "system": "http://snomed.info/sct",
                "display": "Anemia"
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            ]
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                "display": "Hyperglycemia"
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            ]
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                "display": "Metabolic syndrome X"
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            ]
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                "code": "302870006",
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                "display": "Hypertriglyceridemia"
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            ]
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          {
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                "system": "http://snomed.info/sct",
                "display": "Type 2 diabetes mellitus"
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            ]
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          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
          }
        ],
        "text": {
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          "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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          ]
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          "reference": "urn:uuid:f8936ff4-cf31-4fd0-b92b-83a901bf3cd7",
          "display": "Tom Hayward"
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        "requester": {
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        "resourceType": "PractitionerRole",
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        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
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        },
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 06257a76-c6ef-4b6d-b814-73dcaf9f7688</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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          {
            "line": [
              "City Road 204"
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            "city": "Manchester",
            "postalCode": "M3 3",
            "country": "United Kingdom"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Cornbrook Medical Practice</div>"
        },
        "name": "Cornbrook Medical Practice"
      }
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    {
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          ]
        },
        "collection": {
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Whole blood specimen (specimen)</td><td><span class=\"nb\">02-Mar-2025</span></td></tr></table></div>"
        },
        "type": {
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              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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          ]
        }
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    },
    {
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        "resourceType": "Specimen",
        "id": "f2a3ab01-c34b-4821-be3f-7b4d0b68df0c",
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          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
          "collectedDateTime": "2025-03-02"
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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>Acellular blood (serum or plasma) specimen</td><td><span class=\"nb\">02-Mar-2025</span></td></tr></table></div>"
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        "type": {
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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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    {
      "fullUrl": "urn:uuid:c15ec7d2-d858-4e51-b024-be78e16b8391",
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        },
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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>Serum specimen</td><td><span class=\"nb\">02-Mar-2025</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "119364003",
              "system": "http://snomed.info/sct",
              "display": "Serum specimen"
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          ]
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      }
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    {
      "fullUrl": "urn:uuid:09cf9641-7f1f-4437-85dd-21c3c5b669db",
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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\">02-Mar-2025</span></td></tr></table></div>"
        },
        "type": {
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            {
              "code": "122575003",
              "system": "http://snomed.info/sct",
              "display": "Urine specimen"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:de4da6d2-3c99-4d47-a233-37d00f311b2d",
      "resource": {
        "resourceType": "Observation",
        "id": "de4da6d2-3c99-4d47-a233-37d00f311b2d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
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          {
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                "code": "laboratory",
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            "display": "The Central European Lab"
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        ],
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            {
              "code": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
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          ],
          "text": "Glucose [Mass/volume] in Blood"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 68.8,
          "unit": "mg/dL",
          "code": "mg/dL"
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            "high": {
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              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>02-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>68.8</td><td>70 - 100</td><td>L</td><td>mg/dL</td></tr></table></div>"
        },
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        "subject": {
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        "specimen": {
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "6299-2",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
        },
        "valueQuantity": {
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          "value": 9.7,
          "unit": "mg/dL",
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            "high": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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        },
        "status": "final",
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          "display": "Tom Hayward"
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        "specimen": {
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    {
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      "resource": {
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        },
        "category": [
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        ],
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            {
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              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Blood"
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          ],
          "text": "Creatinine [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 3.4,
          "unit": "mg/dL",
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              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>02-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>3.4</td><td>0.6 - 1.2</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:f8936ff4-cf31-4fd0-b92b-83a901bf3cd7",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-03-02T11:43:44Z",
        "specimen": {
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        }
      }
    },
    {
      "fullUrl": "urn:uuid:58f396ae-e8df-45b8-87cc-6307cc4ff636",
      "resource": {
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        "id": "58f396ae-e8df-45b8-87cc-6307cc4ff636",
        "meta": {
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        },
        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "49765-1",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Blood"
            }
          ],
          "text": "Calcium [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 9.3,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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              "value": 8.5,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 10.5,
              "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>02-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.3</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:f8936ff4-cf31-4fd0-b92b-83a901bf3cd7",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-03-02T11:43:44Z",
        "specimen": {
          "reference": "urn:uuid:6167f22c-2eb1-4d32-8094-b1eca989c7f6"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b7417519-65c6-464b-9c59-f8e16cda742f",
      "resource": {
        "resourceType": "Observation",
        "id": "b7417519-65c6-464b-9c59-f8e16cda742f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2947-0",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
            }
          ],
          "text": "Sodium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 139,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
          {
            "low": {
              "value": 135,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 145,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>02-Mar-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.0</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2025-03-02T11:43:44Z",
        "specimen": {
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            {
              "code": "6298-4",
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          "value": 1,
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              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          "value": 33.6,
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              "code": "5802-4",
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              "display": "Nitrite [Presence] in Urine by Test strip"
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          "text": "Nitrite [Presence] in Urine by Test strip"
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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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              "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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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
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          "text": "Synthetic Example Data Generation"
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        "agent": [
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            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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            "postalCode": "1000",
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  "timestamp": "2025-03-02T12:43:44Z"
}