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                  {
                    "reference": "urn:uuid:814c4dc2-2b77-4b20-a5f8-a2d18be65e52"
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                    "reference": "urn:uuid:abf766b0-b3b7-4925-a011-94f1ff065dca"
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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>29-JAN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>67.2 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>9.5</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.5 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>137.1</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>3.8</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>108.5 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>20.9 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.4</td><td>6.0 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.1</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>3.2 L</strong></td><td>20 - 39</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>1.2</td><td>0.3 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>30.7 L</strong></td><td>39 - 117</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>54.2 H</strong></td><td>10 - 40</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>19.9</td><td>10 - 40</td><td>U/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</td><td></td><td></td></tr></tbody></table></div>"
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                "title": "Chemistry"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>29-JAN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.0</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>0.2</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>8.5</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>6.8</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>339.7 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>29-JAN-2025</th><th>Specimen</th><th></th></tr></thead><tbody><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td>Urine</td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td>Urine</td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td>Urine</td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td>Urine</td><td></td></tr></tbody></table></div>"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The results show significant renal impairment (markedly elevated creatinine, proteinuria, low urine specific gravity), mild hypoglycemia, mild metabolic acidosis (low CO₂, high chloride), and elevated ALT suggesting possible hepatic involvement. Urine findings (cloudy, brown, protein, glucose, ketones, bilirubin) further support renal dysfunction and possible tubular injury. Prompt nephrology and further hepatic evaluation are recommended.</td></tr></table></div>"
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              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
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        "subject": {
          "reference": "urn:uuid:044b23ca-5622-4122-9b7a-dcdc74da03fb",
          "display": "Tom Hayward"
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              "code": "TRAIN"
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              "code": "synthetic",
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            "text": "Tom Hayward"
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        ],
        "address": [
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            "use": "home",
            "type": "physical",
            "postalCode": "M1",
            "city": "Manchester",
            "country": "United Kingdom"
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        ],
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        ],
        "extension": [
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Tom Hayward</td><td>male</td><td>07-Apr-1975</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1975-04-07"
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            ]
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        "status": "active",
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              "display": "Laboratory procedure"
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            "city": "Manchester",
            "postalCode": "M3 3",
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        ],
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        },
        "name": "Cornbrook Medical Practice"
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        },
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        },
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        },
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              "display": "Serum specimen"
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    {
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        },
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            {
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              "display": "Urine specimen"
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      }
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    {
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              "display": "Glucose [Mass/volume] in Blood"
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            ]
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        ],
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              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
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            ]
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        },
        "status": "final",
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:345e92c5-43c0-4edc-a9a9-6957b16c80d4",
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        "code": {
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              "code": "49765-1",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Blood"
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          ],
          "text": "Calcium [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 10,
          "unit": "mg/dL",
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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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          "display": "Tom Hayward"
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        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:602945d8-0411-4e0a-98fa-7497aac2fd02",
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        "category": [
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        "code": {
          "coding": [
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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"
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        "valueQuantity": {
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          "value": 137.1,
          "unit": "mmol/L",
          "code": "mmol/L"
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            "high": {
              "value": 145,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
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        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "resourceType": "Observation",
        "id": "c130f793-84bf-4d8b-bb3c-824d247a2720",
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          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
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            ]
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        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": 3.8,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 3.5,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "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>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>3.8</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:044b23ca-5622-4122-9b7a-dcdc74da03fb",
          "display": "Tom Hayward"
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:274c64bd-3d21-4e4a-9233-bf435a03b189",
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        "id": "274c64bd-3d21-4e4a-9233-bf435a03b189",
        "meta": {
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        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
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          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
            }
          ],
          "text": "Chloride [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 108.5,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 98,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 107,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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            "coding": [
              {
                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>108.5</td><td>98 - 107</td><td>H</td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:044b23ca-5622-4122-9b7a-dcdc74da03fb",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-01-29T14:14:44Z",
        "specimen": {
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      "fullUrl": "urn:uuid:810f239f-210e-49e5-b5c7-fcbd34b84467",
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        "category": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "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": 20.9,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 29,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>20.9</td><td>22 - 29</td><td>L</td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:044b23ca-5622-4122-9b7a-dcdc74da03fb",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2025-01-29T14:14:44Z",
        "specimen": {
          "reference": "urn:uuid:87ac9472-8b10-483d-ab5b-1992f1aa92c5"
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    {
      "fullUrl": "urn:uuid:7d8059cb-4e4b-4029-8f5a-d65d33bde69e",
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        "resourceType": "Observation",
        "id": "7d8059cb-4e4b-4029-8f5a-d65d33bde69e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
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        ],
        "performer": [
          {
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        ],
        "code": {
          "coding": [
            {
              "code": "2885-2",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Protein [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 6.4,
          "unit": "g/dL",
          "code": "g/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 6,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 8.3,
              "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>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.4</td><td>6.0 - 8.3</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:044b23ca-5622-4122-9b7a-dcdc74da03fb",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2025-01-29T14:14:44Z",
        "specimen": {
          "reference": "urn:uuid:caba815c-12b3-4d93-be13-403a85a795a2"
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      }
    },
    {
      "fullUrl": "urn:uuid:cd083b7d-3334-4b51-981e-cbcde8672b08",
      "resource": {
        "resourceType": "Observation",
        "id": "cd083b7d-3334-4b51-981e-cbcde8672b08",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4.1,
          "unit": "g/dL",
          "code": "g/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 3.5,
              "code": "g/dL",
              "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>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.1</td><td>3.5 - 5.5</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:044b23ca-5622-4122-9b7a-dcdc74da03fb",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2025-01-29T14:14:44Z",
        "specimen": {
          "reference": "urn:uuid:caba815c-12b3-4d93-be13-403a85a795a2"
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      }
    },
    {
      "fullUrl": "urn:uuid:90458bee-7b82-4ab5-a4c7-754a6d9d1350",
      "resource": {
        "resourceType": "Observation",
        "id": "90458bee-7b82-4ab5-a4c7-754a6d9d1350",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 3.2,
          "unit": "g/L",
          "code": "g/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 20,
              "code": "g/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 39,
              "code": "g/L",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "interpretation": [
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            "coding": [
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                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td>3.2</td><td>20 - 39</td><td>L</td><td>g/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:044b23ca-5622-4122-9b7a-dcdc74da03fb",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2025-01-29T14:14:44Z",
        "specimen": {
          "reference": "urn:uuid:5accd830-7170-4569-b3f2-de36c84032b5"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:dd5bf9dc-1f2f-40a8-b83c-7a2b346774ef",
      "resource": {
        "resourceType": "Observation",
        "id": "dd5bf9dc-1f2f-40a8-b83c-7a2b346774ef",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "1975-2",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1.2,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "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>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>1.2</td><td>0.3 - 1.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:044b23ca-5622-4122-9b7a-dcdc74da03fb",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2025-01-29T14:14:44Z",
        "specimen": {
          "reference": "urn:uuid:caba815c-12b3-4d93-be13-403a85a795a2"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:dd624161-1fda-49b6-bda4-b34bcab599b0",
      "resource": {
        "resourceType": "Observation",
        "id": "dd624161-1fda-49b6-bda4-b34bcab599b0",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "6768-6",
              "system": "http://loinc.org",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 30.7,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 39,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 117,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>30.7</td><td>39 - 117</td><td>L</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:044b23ca-5622-4122-9b7a-dcdc74da03fb",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2025-01-29T14:14:44Z",
        "specimen": {
          "reference": "urn:uuid:caba815c-12b3-4d93-be13-403a85a795a2"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:814c4dc2-2b77-4b20-a5f8-a2d18be65e52",
      "resource": {
        "resourceType": "Observation",
        "id": "814c4dc2-2b77-4b20-a5f8-a2d18be65e52",
        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "1742-6",
              "system": "http://loinc.org",
              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 54.2,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 10,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 40,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>54.2</td><td>10 - 40</td><td>H</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:044b23ca-5622-4122-9b7a-dcdc74da03fb",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2025-01-29T14:14:44Z",
        "specimen": {
          "reference": "urn:uuid:caba815c-12b3-4d93-be13-403a85a795a2"
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      }
    },
    {
      "fullUrl": "urn:uuid:abf766b0-b3b7-4925-a011-94f1ff065dca",
      "resource": {
        "resourceType": "Observation",
        "id": "abf766b0-b3b7-4925-a011-94f1ff065dca",
        "meta": {
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        },
        "category": [
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            "coding": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "1920-8",
              "system": "http://loinc.org",
              "display": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
            }
          ],
          "text": "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
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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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              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
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          "text": "Synthetic Example Data Generation"
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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": "2025-01-29T15:14:44Z"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: bcfe937d-12fa-4b2d-b56f-32da460262b6</div>"
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        "practitioner": {
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            "postalCode": "1000",
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            "country": "Belgium"
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  "type": "document",
  "timestamp": "2025-01-29T15:14:44Z"
}
