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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>03-FEB-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>95.6</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>11.8</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.9 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>10.0</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.5</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>109.0 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td><strong>20.3 L</strong></td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = ++</td><td></td><td></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>Glucose [Mass/volume] in Blood</td><td>95.6</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>11.8</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.7 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>10.0</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.5</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>109.0 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>20.3 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>231.8 H</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>104.5</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>157.8 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>53.2</td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td><strong>175.6 H</strong></td><td>0 - 30</td><td>mg/g</td></tr></tbody></table></div>"
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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>03-FEB-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.9</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>0.6</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>3.6</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>5.8</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>368.6 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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              "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 significantly elevated creatinine, proteinuria, and microalbuminuria, suggesting impaired renal function. Low total CO₂ and high chloride may indicate metabolic acidosis. Urinalysis reveals cloudy, brown urine with protein, glucose, ketones, and bilirubin, but no infection markers. Lipid profile shows hypercholesterolemia and high LDL. HbA1c is unexpectedly low despite glycosuria. Findings are consistent with possible diabetic nephropathy and chronic kidney disease; clinical correlation and further nephrology evaluation are recommended.</td></tr></table></div>"
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              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
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              "code": "synthetic",
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        ],
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            "given": [
              "Tom"
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            "family": "Hayward",
            "text": "Tom Hayward"
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        ],
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          {
            "line": [
              "391 Dean locks"
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            "postalCode": "M1",
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          {
            "system": "phone",
            "value": "+44(0)808 1570544"
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                "url": "code",
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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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                "display": "Hyperlipidemia"
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            ]
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          {
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                "display": "Chronic kidney disease stage 1"
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            ]
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          {
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              {
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                "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
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            ]
          },
          {
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                "display": "Anemia"
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            ]
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                "system": "http://snomed.info/sct",
                "display": "Hyperglycemia"
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                "display": "Metabolic syndrome X"
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                "code": "302870006",
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                "display": "Hypertriglyceridemia"
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            ]
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          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
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              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          "reference": "urn:uuid:e4230483-e0d8-4483-b983-55be93d17c73",
          "display": "Tom Hayward"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: a2304d55-3c85-468b-af04-6ea6551fb40b</div>"
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            "postalCode": "M3 3",
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    {
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        },
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        },
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              "display": "Whole blood specimen (specimen)"
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    {
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              "display": "Glucose [Mass/volume] in Serum or Plasma"
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          "text": "Glucose [Mass/volume] in Serum or Plasma"
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              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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              "code": "3094-0",
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              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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              "display": "Creatinine [Mass/volume] in Serum or Plasma"
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    {
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        ],
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        "code": {
          "coding": [
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              "code": "17861-6",
              "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": {
          "system": "http://unitsofmeasure.org",
          "value": 10,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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              "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>03-Feb-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>10.0</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2022-02-03T06:17:44Z",
        "specimen": {
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        }
      }
    },
    {
      "fullUrl": "urn:uuid:8ff79edf-527a-4d72-a32f-907826ae9622",
      "resource": {
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        "id": "8ff79edf-527a-4d72-a32f-907826ae9622",
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        },
        "category": [
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        ],
        "performer": [
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        "code": {
          "coding": [
            {
              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 139.4,
          "unit": "mmol/L",
          "code": "mmol/L"
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            "high": {
              "value": 145,
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          }
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          "coding": [
            {
              "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": 4.5,
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        ],
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              "code": "2075-0",
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              "display": "Chloride [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Chloride [Moles/volume] in Serum or Plasma"
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          "value": 109,
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        },
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            {
              "code": "2028-9",
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              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 20.3,
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            "high": {
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        },
        "status": "final",
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        "code": {
          "coding": [
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              "code": "5767-9",
              "system": "http://loinc.org",
              "display": "Appearance of Urine"
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          ],
          "text": "Appearance of Urine"
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        "text": {
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        "valueCodeableConcept": {
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        "category": [
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        ],
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        "code": {
          "coding": [
            {
              "code": "34533-0",
              "system": "http://loinc.org",
              "display": "Odor of Urine"
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          ],
          "text": "Odor of Urine"
        },
        "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>03-Feb-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td></tr></table></div>"
        },
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        "valueCodeableConcept": {
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    {
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        ],
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        "code": {
          "coding": [
            {
              "code": "32167-9",
              "system": "http://loinc.org",
              "display": "Clarity of Urine"
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          ],
          "text": "Clarity of Urine"
        },
        "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>03-Feb-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Clarity of Urine</td><td>Translucent</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2022-02-03T06:17:44Z",
        "valueCodeableConcept": {
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              "display": "Translucent"
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        },
        "specimen": {
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    {
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        "category": [
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        ],
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        "code": {
          "coding": [
            {
              "code": "5778-6",
              "system": "http://loinc.org",
              "display": "Color of Urine"
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          ],
          "text": "Color of Urine"
        },
        "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>03-Feb-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Color of Urine</td><td>Brown color</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        "valueCodeableConcept": {
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              "display": "Brown color"
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          ]
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        "specimen": {
          "reference": "urn:uuid:bb224db9-3fb3-4a6b-a3c8-92e4e7fc78d9"
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      }
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    {
      "fullUrl": "urn:uuid:25c4fbad-b650-4432-8ba6-1031e77788d3",
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        },
        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5792-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Glucose [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1.9,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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            "high": {
              "value": 5,
              "code": "mg/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>03-Feb-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.9</td><td>0 - 5</td><td></td><td>mg/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": "25428-4",
              "system": "http://loinc.org",
              "display": "Glucose [Presence] in Urine by Test strip"
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          ],
          "text": "Glucose [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>03-Feb-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td></tr></table></div>"
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        "status": "final",
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        "effectiveDateTime": "2022-02-03T06:17:44Z",
        "valueCodeableConcept": {
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              "display": "Urine glucose test = ++"
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        "category": [
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        "code": {
          "coding": [
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              "code": "20505-4",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 0.6,
          "unit": "mg/dL",
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            "high": {
              "value": 1,
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              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
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              "code": "5797-6",
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              "code": "2514-8",
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              "display": "Protein [Mass/volume] in Urine by Test strip"
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          "value": 368.6,
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              "display": "Nitrite [Presence] in Urine by Test strip"
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              "display": "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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              "code": "4548-4",
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              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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          ],
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
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            ]
          }
        ],
        "text": {
          "status": "generated",
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        ],
        "code": {
          "coding": [
            {
              "code": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
            }
          ],
          "text": "Glucose [Mass/volume] in Blood"
        },
        "valueQuantity": {
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          "value": 95.6,
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            "high": {
              "value": 100,
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          "coding": [
            {
              "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": 11.8,
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        "code": {
          "coding": [
            {
              "code": "38483-4",
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              "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": 3.7,
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            {
              "code": "49765-1",
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              "display": "Calcium [Mass/volume] in Blood"
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          ],
          "text": "Calcium [Mass/volume] in Blood"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 10,
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            "high": {
              "value": 10.5,
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        "code": {
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              "code": "2947-0",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
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          ],
          "text": "Sodium [Moles/volume] in Blood"
        },
        "valueQuantity": {
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          "value": 139.4,
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          "code": "mmol/L"
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            "high": {
              "value": 145,
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              "system": "http://unitsofmeasure.org"
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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>03-Feb-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.4</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
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        "code": {
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            {
              "code": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
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          ],
          "text": "Potassium [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 4.5,
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          "code": "mmol/L"
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        "referenceRange": [
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            },
            "high": {
              "value": 5.1,
              "code": "mmol/L",
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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>03-Feb-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.5</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
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    {
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        "category": [
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        ],
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        "code": {
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              "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": 109,
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        },
        "referenceRange": [
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            "high": {
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            ]
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        ],
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        },
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        ],
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        "code": {
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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"
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        "valueQuantity": {
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          "value": 20.3,
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        "referenceRange": [
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            "high": {
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        },
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        "code": {
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              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 231.8,
          "unit": "mg/dL",
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        "referenceRange": [
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            },
            "high": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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            ]
          }
        ],
        "text": {
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              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
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              "display": "Microalbumin/Creatinine [Mass Ratio] in Urine"
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          "text": "Microalbumin/Creatinine [Mass Ratio] in Urine"
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          "value": 175.6,
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                "display": "High"
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        "deviceName": [
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            "type": "manufacturer-name"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
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              "code": "CREATE",
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              "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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                "display": "training"
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            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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        "recorded": "2022-02-03T07:17:44Z"
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        "meta": {
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 4e25b972-b955-45c3-8db1-4558c057357e</div>"
        },
        "practitioner": {
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              "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": "2022-02-03T07:17:44Z"
}