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                  "display": "Laboratory studies (set)"
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                  "coding": [
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                      "code": "18723-7",
                      "system": "http://loinc.org",
                      "display": "Hematology studies (set)"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Hematology</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>28-MAR-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>4.2</td><td>4.0 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>4.8</td><td>4.2 - 5.6</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>15.3</td><td>13.5 - 17.5</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>38.6</td><td>37 - 49</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>92.3</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>31.1</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td><strong>31.7 L</strong></td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte [DistWidth] in Blood by Automated count</td><td>15.3</td><td>11.5 - 16.5</td><td>%</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>287.3</td><td>150 - 450</td><td>10*3/uL</td></tr></tbody></table></div>"
                },
                "title": "Hematology"
              },
              {
                "code": {
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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>28-MAR-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td><strong>66.8 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>9.7</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.8 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.7</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>143.6</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>105.3</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>26.9</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.9</td><td>6.0 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.9</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td><strong>10.1 H</strong></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>112.4</td><td>39 - 117</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>35.2</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>21.0</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Magnesium [Mass/volume] in Serum or Plasma</td><td>2.0</td><td>1.7 - 2.3</td><td>mg/dL</td></tr><tr><td>Phosphate [Mass/volume] in Serum or Plasma</td><td>4.0</td><td>2.5 - 4.5</td><td>mg/dL</td></tr><tr><td>pH of Arterial blood</td><td><strong>6.9 L</strong></td><td>7.35 - 7.45</td><td>[pH]</td></tr><tr><td>Carbon dioxide [Partial pressure] in Arterial blood</td><td>35.9</td><td>35 - 45</td><td>mm[Hg]</td></tr><tr><td>Oxygen [Partial pressure] in Arterial blood</td><td>85.5</td><td>75 - 100</td><td>mm[Hg]</td></tr><tr><td>Bicarbonate [Moles/volume] in Arterial blood</td><td>25.4</td><td>22 - 28</td><td>mmol/L</td></tr><tr><td>Oxygen saturation in Arterial blood</td><td>95.0</td><td>95.0 - 100.0</td><td>%</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>216.1 H</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>142.6</td><td>0 - 150</td><td>mg/dL</td></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td><strong>132.9 H</strong></td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>54.7</td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Troponin I.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method</td><td>0.0</td><td>0 - 34</td><td>pg/mL</td></tr><tr><td>Thyrotropin [Units/volume] in Serum or Plasma</td><td>2.3</td><td>0.4 - 4.0</td><td>m[IU]/L</td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.3 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td><strong>1.0 H</strong></td><td>0 - 0</td><td>{presence}</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
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                  "coding": [
                    {
                      "code": "18720-3",
                      "system": "http://loinc.org",
                      "display": "Coagulation studies (set)"
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                  ],
                  "text": "Coagulation"
                },
                "entry": [
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                    "reference": "urn:uuid:32030842-d21d-4fca-b666-aa4a69ced638"
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                  {
                    "reference": "urn:uuid:f00eee6c-c82f-48ab-a363-13dda7f5fa30"
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                    "reference": "urn:uuid:8d9b6697-fc26-4f06-a2ca-3fb93ea58fc4"
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                ],
                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Coagulation</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>28-MAR-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Prothrombin time (PT)</td><td><strong>9.1 L</strong></td><td>9.4 - 12.5</td><td>s</td></tr><tr><td>INR in Platelet poor plasma by Coagulation assay</td><td>1.1</td><td>0.9 - 1.1</td><td>{INR}</td></tr><tr><td>aPTT in Blood by Coagulation assay</td><td>29.9</td><td>25 - 35</td><td>s</td></tr></tbody></table></div>"
                },
                "title": "Coagulation"
              },
              {
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                  "coding": [
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                      "code": "18729-4",
                      "system": "http://loinc.org",
                      "display": "Urinalysis studies (set)"
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                  "text": "Urinalysis"
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                "entry": [
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                    "reference": "urn:uuid:29a76d99-c093-45a2-b063-e02a144037b6"
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                    "reference": "urn:uuid:843d88cd-a764-477f-8589-1937d80d801a"
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                  {
                    "reference": "urn:uuid:48a85476-3575-460d-8c56-2991d953467f"
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                  {
                    "reference": "urn:uuid:bfec642a-33b6-46eb-bb52-8bc8a6423965"
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                  {
                    "reference": "urn:uuid:43994158-4619-4189-8e55-3342db967684"
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                  {
                    "reference": "urn:uuid:8aac4908-bbdf-4b63-8017-6d41e433e102"
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                  {
                    "reference": "urn:uuid:72e547fa-f353-4b2a-b52d-9deb164262f1"
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                    "reference": "urn:uuid:b7489c67-0bb3-4826-b659-c9798b0b9ce4"
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                "text": {
                  "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>28-MAR-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Presence] in Urine by Test strip</td><td>1.0</td><td></td><td>{presence}</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>1.0</td><td>0 - 1</td><td>{presence}</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>{SG}</td></tr><tr><td>pH of Urine by Test strip</td><td>7.5</td><td>4.5 - 8.0</td><td>[pH]</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>1.0</td><td></td><td>{presence}</td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>1.0</td><td></td><td>{presence}</td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>0.0</td><td></td><td>{presence}</td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>0.0</td><td></td><td>{presence}</td></tr></tbody></table></div>"
                },
                "title": "Urinalysis"
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            ],
            "title": "Laboratory Report"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows severe metabolic acidosis (arterial pH 6.9), markedly elevated creatinine (2.8 mg/dL), very high total bilirubin (10.1 mg/dL), and abnormal urine findings (protein, nitrite, ketones, glucose). These suggest acute kidney and liver dysfunction, possible sepsis, and metabolic decompensation. Immediate clinical evaluation and intervention are urgently recommended.</td></tr></table></div>"
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          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:a57998f4-647a-46e9-94cf-426cde73d5b1",
          "display": "Tom Hayward"
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        "date": "2019-03-28T07:55:10Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
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              "code": "6690-2",
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              "display": "Leukocytes [#/volume] in Blood by Automated count"
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              "display": "Erythrocytes [#/volume] in Blood by Automated count"
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          "text": "Erythrocytes [#/volume] in Blood by Automated count"
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            "high": {
              "value": 5.6,
              "code": "10*6/uL",
              "system": "http://unitsofmeasure.org"
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        ],
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          "status": "generated",
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        "code": {
          "coding": [
            {
              "code": "718-7",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Mass/volume] in Blood"
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          ],
          "text": "Hemoglobin [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 15.3,
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            "high": {
              "value": 17.5,
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              "code": "4544-3",
              "system": "http://loinc.org",
              "display": "Hematocrit [Volume Fraction] of Blood by Automated count"
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          ],
          "text": "Hematocrit [Volume Fraction] of Blood by Automated count"
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        "valueQuantity": {
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          "value": 38.6,
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        "code": {
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              "code": "787-2",
              "system": "http://loinc.org",
              "display": "MCV [Entitic mean volume] in Red Blood Cells by Automated count"
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          "text": "MCV [Entitic mean volume] in Red Blood Cells by Automated count"
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        "valueQuantity": {
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          "value": 92.3,
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          "status": "generated",
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        "status": "final",
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        "specimen": {
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          "coding": [
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              "code": "785-6",
              "system": "http://loinc.org",
              "display": "MCH [Entitic mass] by Automated count"
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          ],
          "text": "MCH [Entitic mass] by Automated count"
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          "value": 31.1,
          "unit": "pg",
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              "system": "http://unitsofmeasure.org"
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        },
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        "code": {
          "coding": [
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              "code": "786-4",
              "system": "http://loinc.org",
              "display": "MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count"
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          ],
          "text": "MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count"
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        "valueQuantity": {
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          "value": 31.7,
          "unit": "g/dL",
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        },
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        "code": {
          "coding": [
            {
              "code": "788-0",
              "system": "http://loinc.org",
              "display": "Erythrocyte [DistWidth] in Blood by Automated count"
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          ],
          "text": "Erythrocyte [DistWidth] in Blood by Automated count"
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        "valueQuantity": {
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          "unit": "%",
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            "high": {
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              "system": "http://unitsofmeasure.org"
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        ],
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        },
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        "code": {
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              "code": "777-3",
              "system": "http://loinc.org",
              "display": "Platelets [#/volume] in Blood by Automated count"
            }
          ],
          "text": "Platelets [#/volume] in Blood by Automated count"
        },
        "valueQuantity": {
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          "value": 287.3,
          "unit": "10*3/uL",
          "code": "10*3/uL"
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              "value": 450,
              "code": "10*3/uL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
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        },
        "status": "final",
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        "code": {
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              "code": "2345-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Glucose [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 66.8,
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                "display": "Low"
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            ]
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        ],
        "text": {
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        },
        "status": "final",
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        "specimen": {
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      "fullUrl": "urn:uuid:171cca00-177a-434e-b0f8-f2d2ca8a4299",
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        ],
        "code": {
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            {
              "code": "3094-0",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 9.7,
          "unit": "mg/dL",
          "code": "mg/dL"
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            },
            "high": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
        "text": {
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        },
        "status": "final",
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              "code": "2160-0",
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              "display": "Creatinine [Mass/volume] in Serum or Plasma"
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          "value": 2.8,
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              "code": "2823-3",
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              "display": "Potassium [Moles/volume] in Serum or Plasma"
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          "text": "Potassium [Moles/volume] in Serum or Plasma"
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          "value": 5,
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          "value": 105.3,
          "unit": "mmol/L",
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            "high": {
              "value": 107,
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          "value": 26.9,
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        "valueQuantity": {
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          "value": 6.9,
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            "high": {
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              "display": "Albumin [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Albumin [Mass/volume] in Serum or Plasma"
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          "value": 4.9,
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              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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          "value": 10.1,
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            ]
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        ],
        "text": {
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        "code": {
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              "code": "6768-6",
              "system": "http://loinc.org",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 112.4,
          "unit": "U/L",
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            "high": {
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        ],
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              "display": "Glucose [Presence] in Urine by Test strip"
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          ],
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              "display": "Protein [Presence] in Urine by Test strip"
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          "text": "Protein [Presence] in Urine by Test strip"
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              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
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          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
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        "valueQuantity": {
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        "referenceRange": [
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              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 0,
          "unit": "{presence}",
          "code": "{presence}"
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        "status": "final",
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              "code": "5799-2",
              "system": "http://loinc.org",
              "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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        "valueQuantity": {
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          "value": 0,
          "unit": "{presence}",
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        "referenceRange": [
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        "specimen": {
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    },
    {
      "fullUrl": "urn:uuid:8434f762-3cab-45c8-9724-3c6918f1b77a",
      "resource": {
        "resourceType": "Device",
        "id": "8434f762-3cab-45c8-9724-3c6918f1b77a",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
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    },
    {
      "fullUrl": "urn:uuid:01bd2acf-483a-4f82-a3d2-a2d4cda737fd",
      "resource": {
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              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
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        "policy": [
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        "agent": [
          {
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                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
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              "text": "author"
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        "reason": [
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              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2019-03-28T07:55:10Z"
      }
    },
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      "fullUrl": "urn:uuid:918484a1-d1ca-4ef9-89a0-2040dbe05904",
      "resource": {
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        "meta": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 918484a1-d1ca-4ef9-89a0-2040dbe05904</div>"
        },
        "practitioner": {
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      "resource": {
        "resourceType": "Practitioner",
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        "identifier": [
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "ac14dd7d-1d48-44f2-b8cf-0a55c28f31c8"
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        ],
        "name": [
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            "prefix": [
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            "given": [
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            "family": "Ample"
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        ],
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              "Laboratoire Central Européenne",
              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
        }
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    }
  ],
  "type": "document",
  "timestamp": "2019-03-28T07:55:10Z"
}
