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                    "reference": "urn:uuid:d63691d7-dbcf-4b77-a4e1-85b6c09a02b1"
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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>01-FEB-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>83.7</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>17.7</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>9.0</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>143.4</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>104.8</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>20.6 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>8.0</td><td>6.0 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>3.6</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>2.3 L</strong></td><td>20 - 39</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>1.1</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>75.6</td><td>39 - 117</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>29.1</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>17.4</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>"
                },
                "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>01-FEB-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>0.8</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>0.3</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>4.4</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>6.9</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>271.7 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = +++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr></tbody></table></div>"
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                "title": "Urinalysis"
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                  "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>01-FEB-2024</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 markedly elevated serum creatinine and proteinuria, suggesting significant renal impairment. Low total CO₂ may indicate metabolic acidosis. Urinalysis reveals proteinuria, glucosuria, ketonuria, and abnormal urine appearance (cloudy, brown, ammoniacal), supporting renal dysfunction and possible tubular injury. Immediate nephrology evaluation is recommended for further assessment and management.</td></tr></table></div>"
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            "postalCode": "M1",
            "city": "Manchester",
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            ],
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              "display": "Calcium [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 143.4,
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        ],
        "code": {
          "coding": [
            {
              "code": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
            }
          ],
          "text": "Potassium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4.4,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
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            },
            "high": {
              "value": 5.1,
              "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>01-Feb-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.4</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
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        "code": {
          "coding": [
            {
              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
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          ],
          "text": "Chloride [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 104.8,
          "unit": "mmol/L",
          "code": "mmol/L"
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              "value": 98,
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            "high": {
              "value": 107,
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              "system": "http://unitsofmeasure.org"
            }
          }
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>01-Feb-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>104.8</td><td>98 - 107</td><td></td><td>mmol/L</td></tr></table></div>"
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        "status": "final",
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              "code": "20565-8",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 20.6,
          "unit": "mmol/L",
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              "value": 22,
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            "high": {
              "value": 29,
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        "code": {
          "coding": [
            {
              "code": "2885-2",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Protein [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 8,
          "unit": "g/dL",
          "code": "g/dL"
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 8.3,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>01-Feb-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>8.0</td><td>6.0 - 8.3</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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        "category": [
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        "code": {
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            {
              "code": "1751-7",
              "system": "http://loinc.org",
              "display": "Albumin [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Albumin [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 3.6,
          "unit": "g/dL",
          "code": "g/dL"
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        "referenceRange": [
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.5,
              "code": "g/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>01-Feb-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>3.6</td><td>3.5 - 5.5</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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        "id": "4f665742-f803-444b-8fd8-972974a135e1",
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        "category": [
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        "code": {
          "coding": [
            {
              "code": "10834-0",
              "system": "http://loinc.org",
              "display": "Globulin [Mass/volume] in Serum by calculation"
            }
          ],
          "text": "Globulin [Mass/volume] in Serum by calculation"
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        "valueQuantity": {
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          "value": 2.3,
          "unit": "g/L",
          "code": "g/L"
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        "referenceRange": [
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              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 39,
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                "display": "Low"
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            ]
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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>01-Feb-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td>2.3</td><td>20 - 39</td><td>L</td><td>g/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2024-02-01T09:00:44Z",
        "specimen": {
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        "category": [
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        ],
        "code": {
          "coding": [
            {
              "code": "1975-2",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1.1,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 0.3,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.2,
              "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>01-Feb-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>1.1</td><td>0.3 - 1.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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    {
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        "category": [
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        "code": {
          "coding": [
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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": 75.6,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 117,
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              "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>01-Feb-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>75.6</td><td>39 - 117</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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        "code": {
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              "system": "http://loinc.org",
              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 29.1,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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            },
            "high": {
              "value": 40,
              "code": "U/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>01-Feb-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>29.1</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
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        "effectiveDateTime": "2024-02-01T09:00:44Z",
        "specimen": {
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    {
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        "category": [
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                "code": "laboratory",
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
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              "code": "1920-8",
              "system": "http://loinc.org",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 17.4,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
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            },
            "high": {
              "value": 40,
              "code": "U/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>01-Feb-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>17.4</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2024-02-01T09:00:44Z",
        "specimen": {
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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": "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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            "country": "Belgium"
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}