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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>21-NOV-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>72.0</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>16.9</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.3 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>141.1</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.2</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>109.4 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.2</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.6</td><td>6.6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.0</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>2.6 L</strong></td><td>25 - 35</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.4</td><td>0.1 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>62.1</td><td>30 - 120</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>43.2 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>34.8</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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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>21-NOV-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td><strong>0.5 H</strong></td><td>0 - 0</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>1.1</td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td><strong>12.3 H</strong></td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.030</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>5.8</td><td>5.5 - 7.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>265.9 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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                  "text": "Specimen information"
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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>21-NOV-2019</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, proteinuria, glucosuria, and ketonuria, suggesting significant renal impairment with possible nephrotic-range protein loss and impaired glucose handling. Elevated liver enzymes and abnormal urine appearance (cloudy, brown, ammoniacal) further support systemic involvement. Immediate clinical evaluation for acute or chronic kidney disease, possible diabetic ketoacidosis, and liver dysfunction is recommended.</td></tr></table></div>"
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        "date": "2019-11-21T14:39:19Z",
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        ],
        "address": [
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            "use": "home",
            "type": "physical",
            "postalCode": "09010",
            "city": "Domusnovas Canales",
            "country": "Italy"
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        ],
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            ],
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        "text": {
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        "category": [
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        ],
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            {
              "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": 109.4,
          "unit": "mmol/L",
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            "high": {
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            ]
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Nov-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>109.4</td><td>98 - 107</td><td>H</td><td>mmol/L</td></tr></table></div>"
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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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 26.2,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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            "low": {
              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 29,
              "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>21-Nov-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.2</td><td>22 - 29</td><td></td><td>mmol/L</td></tr></table></div>"
        },
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        "specimen": {
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        "category": [
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        "code": {
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            {
              "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"
        },
        "valueQuantity": {
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          "value": 6.6,
          "unit": "g/dL",
          "code": "g/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 6.6,
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              "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>21-Nov-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.6</td><td>6.6 - 8.3</td><td></td><td>g/dL</td></tr></table></div>"
        },
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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"
        },
        "valueQuantity": {
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          "value": 4,
          "unit": "g/dL",
          "code": "g/dL"
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        "referenceRange": [
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            "low": {
              "value": 3.5,
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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>21-Nov-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.0</td><td>3.5 - 5.5</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2019-11-21T13:39:19Z",
        "specimen": {
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      "fullUrl": "urn:uuid:4281cc50-0e93-48bd-8a7b-013c0585f471",
      "resource": {
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        "id": "4281cc50-0e93-48bd-8a7b-013c0585f471",
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        },
        "category": [
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                "code": "laboratory",
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            ]
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        ],
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        ],
        "code": {
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              "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": 2.6,
          "unit": "g/L",
          "code": "g/L"
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        "referenceRange": [
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            "low": {
              "value": 25,
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            },
            "high": {
              "value": 35,
              "code": "g/L",
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            ]
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        ],
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        },
        "status": "final",
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        "specimen": {
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        },
        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
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        ],
        "code": {
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            {
              "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": 0.4,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.1,
              "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>21-Nov-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.4</td><td>0.1 - 1.2</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Atenulf Sorrentino"
        },
        "effectiveDateTime": "2019-11-21T13:39:19Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:02e0c3be-74f2-4a10-8223-b1b743b587ca",
      "resource": {
        "resourceType": "Observation",
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        "meta": {
          "profile": [
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        },
        "category": [
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            "coding": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
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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"
            }
          ],
          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 62.1,
          "unit": "U/L",
          "code": "U/L"
        },
        "referenceRange": [
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            "low": {
              "value": 30,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 120,
              "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>21-Nov-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>62.1</td><td>30 - 120</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:7e415fec-8ec2-41dd-8991-06d6a0934401",
          "display": "Atenulf Sorrentino"
        },
        "effectiveDateTime": "2019-11-21T13:39:19Z",
        "specimen": {
          "reference": "urn:uuid:a7bcd9fa-13fc-4673-9056-fba7dbe57726"
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      }
    },
    {
      "fullUrl": "urn:uuid:9494f9ef-7381-4eab-bf29-e88ac90a5c8d",
      "resource": {
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        "id": "9494f9ef-7381-4eab-bf29-e88ac90a5c8d",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
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        ],
        "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": 43.2,
          "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": [
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                "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>21-Nov-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>43.2</td><td>10 - 40</td><td>H</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:7e415fec-8ec2-41dd-8991-06d6a0934401",
          "display": "Atenulf Sorrentino"
        },
        "effectiveDateTime": "2019-11-21T13:39:19Z",
        "specimen": {
          "reference": "urn:uuid:a7bcd9fa-13fc-4673-9056-fba7dbe57726"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:231d4e7b-ca6a-4d98-abdd-b76affc1ff47",
      "resource": {
        "resourceType": "Observation",
        "id": "231d4e7b-ca6a-4d98-abdd-b76affc1ff47",
        "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"
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            ]
          }
        ],
        "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": {
          "system": "http://unitsofmeasure.org",
          "value": 34.8,
          "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"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Nov-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>34.8</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Atenulf Sorrentino"
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        "effectiveDateTime": "2019-11-21T13:39:19Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:6ab3e204-c14a-4689-9d2d-f76c502741c8",
      "resource": {
        "resourceType": "Observation",
        "id": "6ab3e204-c14a-4689-9d2d-f76c502741c8",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "5767-9",
              "system": "http://loinc.org",
              "display": "Appearance of Urine"
            }
          ],
          "text": "Appearance of Urine"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>21-Nov-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Appearance of Urine</td><td>Cloudy urine</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:7e415fec-8ec2-41dd-8991-06d6a0934401",
          "display": "Atenulf Sorrentino"
        },
        "effectiveDateTime": "2019-11-21T13:39:19Z",
        "valueCodeableConcept": {
          "coding": [
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          "text": "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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              "display": "Leukocyte esterase [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": "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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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: afe90478-bb38-4245-bd60-0b2f7a1b4bf7</div>"
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            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
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  "timestamp": "2019-11-21T14:39:19Z"
}