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                      "display": "Chemistry studies (set)"
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                  {
                    "reference": "urn:uuid:861c21d4-0a7e-4909-9de2-61b8791fb8a9"
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                  {
                    "reference": "urn:uuid:985ff497-ac56-42f3-ad69-efc1ca6ccd95"
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                  {
                    "reference": "urn:uuid:00c4ac7a-0ec5-42b4-a18d-f1e312b15e45"
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                  {
                    "reference": "urn:uuid:421fa1db-c895-4799-97ad-13e95b8a6bd5"
                  },
                  {
                    "reference": "urn:uuid:bbd150aa-a8f8-417d-b3d4-bf86f2e9aa28"
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                  {
                    "reference": "urn:uuid:b3dda304-7f76-4a2c-a07b-9551b8838eb7"
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                  {
                    "reference": "urn:uuid:bb47a252-7f80-4e8f-9feb-37a98589e892"
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                "text": {
                  "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>19-NOV-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>95.7</td><td>65 - 99</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>8.4</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.8 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.4</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>140.9</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.4</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>105.1</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>26.4</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = trace</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>5.9 H</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>95.7</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>8.4</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>1.2 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.4</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>140.9</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>105.1</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.4</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
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                  "coding": [
                    {
                      "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:1886ad31-fdfe-479f-a179-9ba39fc203ec"
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                    "reference": "urn:uuid:29cbcaa2-ecd2-4874-9ff7-2b30dac26107"
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                  {
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                  {
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                    "reference": "urn:uuid:3f865234-7249-4dbb-9d79-2e422c928bbd"
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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>19-NOV-2023</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>1.5 H</strong></td><td>0 - 0</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>0.6</td><td>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>4.3 H</strong></td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>6.2</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>117.8 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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                  "coding": [
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                      "display": "Specimen information"
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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>19-NOV-2023</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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            "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 mildly elevated creatinine, proteinuria, glucosuria, ketonuria, and a slightly increased HbA1c, suggesting possible early diabetic nephropathy or impaired renal function with suboptimal glycemic control. Urine is cloudy, brown, and has low specific gravity, which may indicate renal concentrating defects. No evidence of urinary tract infection. Recommend further nephrological and diabetic evaluation.</td></tr></table></div>"
            },
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        "status": "final",
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          "display": "Lara Baum"
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        "date": "2023-11-19T05:04:55Z",
        "title": "Laboratory Report",
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              "system": "http://loinc.org",
              "display": "Laboratory report"
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        "subject": {
          "reference": "urn:uuid:824b309d-66a8-4ec4-a283-ee12810f9226",
          "display": "Lara Baum"
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          "tag": [
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              "code": "synthetic",
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            "value": "3227-921774-2"
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            "system": "http://local.setting.eu/identifier",
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            "text": "Lara Baum"
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        "address": [
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            "use": "home",
            "type": "physical",
            "postalCode": "85354",
            "city": "Freising",
            "country": "Germany"
          }
        ],
        "telecom": [
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            "value": "+49(0)0013 16572"
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        ],
        "extension": [
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            "extension": [
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                "url": "code",
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                      "code": "DE",
                      "system": "urn:iso:std:iso:3166"
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                }
              }
            ],
            "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>Lara Baum</td><td>female</td><td>10-Dec-1969</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1969-12-10"
      }
    },
    {
      "fullUrl": "urn:uuid:af0f892d-f032-4a5d-a41e-fe30cce251bd",
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        "resourceType": "ServiceRequest",
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          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"
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        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "e1d4bea2-e5aa-4945-9626-1551de84bd05"
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        ],
        "specimen": [
          {
            "reference": "urn:uuid:59d464b9-f9b3-4c26-b238-788965c9d487"
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          {
            "reference": "urn:uuid:39212cc7-d126-4b9a-973f-98ea23ec8da4"
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          {
            "reference": "urn:uuid:e75eac9a-409a-4846-b69c-4ee9da121ab3"
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "239873007",
                "system": "http://snomed.info/sct",
                "display": "Osteoarthritis of knee"
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            ]
          },
          {
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              {
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                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "431855005",
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          {
            "coding": [
              {
                "code": "237602007",
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                "display": "Metabolic syndrome X"
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            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
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            ]
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        ],
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        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
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              "display": "Laboratory procedure"
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          ]
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        "subject": {
          "reference": "urn:uuid:824b309d-66a8-4ec4-a283-ee12810f9226",
          "display": "Lara Baum"
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        },
        "organization": {
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          {
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            "postalCode": "85354",
            "country": "Germany"
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        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: KfH-Nierenzentrum am Klinikum Freising</div>"
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        "name": "KfH-Nierenzentrum am Klinikum Freising"
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      "fullUrl": "urn:uuid:59d464b9-f9b3-4c26-b238-788965c9d487",
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
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        },
        "type": {
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            {
              "code": "122592007",
              "system": "http://snomed.info/sct",
              "display": "Acellular blood (serum or plasma) specimen"
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      }
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
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        },
        "type": {
          "coding": [
            {
              "code": "122575003",
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              "display": "Urine specimen"
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          ]
        }
      }
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    {
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          "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\">19-Nov-2023</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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          ]
        }
      }
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    {
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            {
              "code": "2345-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
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          "code": "mg/dL"
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            "high": {
              "value": 99,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "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>19-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>95.7</td><td>65 - 99</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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        "specimen": {
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              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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              "value": 20,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
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        },
        "status": "final",
        "subject": {
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          "display": "Lara Baum"
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        "specimen": {
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              "display": "Creatinine [Mass/volume] in Serum or Plasma"
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          "value": 1.8,
          "unit": "mg/dL",
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            ]
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        "text": {
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        },
        "status": "final",
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        "specimen": {
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              "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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        "valueQuantity": {
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          "value": 9.4,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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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>19-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.4</td><td>8.6 - 10.3</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Lara Baum"
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        "effectiveDateTime": "2023-11-19T04:04:55Z",
        "specimen": {
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    {
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        "code": {
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              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 140.9,
          "unit": "mmol/L",
          "code": "mmol/L"
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              "code": "mmol/L",
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            },
            "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>19-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>140.9</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Lara Baum"
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        "effectiveDateTime": "2023-11-19T04:04:55Z",
        "specimen": {
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      }
    },
    {
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      "resource": {
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        "performer": [
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        ],
        "code": {
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              "code": "2823-3",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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          "value": 4.4,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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              "value": 5.1,
              "code": "mmol/L",
              "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>19-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.4</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Lara Baum"
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        "effectiveDateTime": "2023-11-19T04:04:55Z",
        "specimen": {
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    {
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        ],
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        ],
        "code": {
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              "code": "2075-0",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Serum or Plasma"
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              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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          "value": 1.5,
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              "code": "2514-8",
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              "display": "Ketones [Presence] in Urine by Test strip"
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          ],
          "text": "Ketones [Presence] in Urine by Test strip"
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            {
              "code": "5811-5",
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              "display": "Specific gravity of Urine by Test strip"
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          ],
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          "value": 1,
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          "coding": [
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              "code": "5803-2",
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              "display": "pH of Urine by Test strip"
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          ],
          "text": "pH of Urine by Test strip"
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        },
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              "code": "5804-0",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Protein [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 117.8,
          "unit": "mg/dL",
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        "referenceRange": [
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            "high": {
              "value": 20,
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                "display": "High"
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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>Test</th><th>19-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>117.8</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
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              "code": "20454-5",
              "system": "http://loinc.org",
              "display": "Protein [Presence] in Urine by Test strip"
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          ],
          "text": "Protein [Presence] in Urine by Test strip"
        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>19-Nov-2023</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>"
        },
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        "code": {
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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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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>19-Nov-2023</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>"
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        "code": {
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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"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>19-Nov-2023</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>"
        },
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              "display": "Urine blood test = negative"
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        "code": {
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            {
              "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>19-Nov-2023</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>"
        },
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        "valueCodeableConcept": {
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        "code": {
          "coding": [
            {
              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
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        "valueQuantity": {
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          "value": 5.9,
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        ],
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        "code": {
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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": {
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          "value": 95.7,
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            },
            "high": {
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          }
        ],
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        },
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        "code": {
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              "code": "6299-2",
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              "display": "Urea nitrogen [Mass/volume] in Blood"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 8.4,
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          ],
          "text": "Potassium [Moles/volume] in Blood"
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              "display": "Chloride [Moles/volume] in Blood"
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          "value": 105.1,
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
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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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        "practitioner": {
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            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
        "text": {
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  "type": "document",
  "timestamp": "2023-11-19T05:04:55Z"
}