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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>09-JUN-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>79.0</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>12.6</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.0 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>8.7</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.0</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.2</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>111.0 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>22.8</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>79.0</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>12.6</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>3.9 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.7</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.0</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>111.0 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>22.8</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>188.8</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>123.0</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>112.2 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>52.0</td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td><strong>135.6 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>09-JUN-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>0.8</td><td>0 - 5</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td><strong>1.3 H</strong></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>18.3</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>262.0 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>Specimen information</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>09-JUN-2022</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 creatinine, proteinuria, microalbuminuria, and abnormal urine findings (cloudy, brown, low specific gravity), suggesting significant renal impairment. Elevated chloride and LDL cholesterol are also noted. HbA1c is low, ruling out chronic hyperglycemia. No evidence of urinary infection. Findings are consistent with acute or chronic kidney disease; prompt nephrology evaluation is recommended.</td></tr></table></div>"
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                "display": "Hyperglycemia"
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                "display": "Essential hypertension"
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        "status": "active",
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              "display": "Laboratory procedure"
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          "display": "Tom Hayward"
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        "code": {
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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": {
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          "value": 8.7,
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              "code": "mg/dL",
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        ],
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        },
        "status": "final",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2022-06-09T06:17:44Z",
        "specimen": {
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    {
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        "code": {
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              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          "text": "Sodium [Moles/volume] in Serum or Plasma"
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          "value": 139,
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              "value": 145,
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              "code": "2823-3",
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              "display": "Potassium [Moles/volume] in Serum or Plasma"
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          "value": 4.2,
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              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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          "value": 22.8,
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              "value": 32,
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              "code": "5767-9",
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              "display": "Appearance of Urine"
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              "display": "Cloudy urine"
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        "code": {
          "coding": [
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              "code": "34533-0",
              "system": "http://loinc.org",
              "display": "Odor of Urine"
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          ],
          "text": "Odor of Urine"
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        },
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            {
              "code": "32167-9",
              "system": "http://loinc.org",
              "display": "Clarity of Urine"
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          ],
          "text": "Clarity of Urine"
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        },
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        "valueCodeableConcept": {
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              "code": "5778-6",
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              "display": "Color of Urine"
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          ],
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        },
        "status": "final",
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        "valueCodeableConcept": {
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        "category": [
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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": 0.8,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 5,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
        "text": {
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        "specimen": {
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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"
        },
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        },
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        "valueCodeableConcept": {
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        "code": {
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              "code": "20505-4",
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              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Bilirubin.total [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
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          "value": 1.3,
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                "display": "High"
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            ]
          }
        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
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        "specimen": {
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        ],
        "interpretation": [
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            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
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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>09-Jun-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>3.3</td><td>4.0 - 5.6</td><td>L</td><td>%</td></tr></table></div>"
        },
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          "display": "Tom Hayward"
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        "specimen": {
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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": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
            }
          ],
          "text": "Glucose [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 79,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 70,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "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>09-Jun-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>79.0</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
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    {
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        "id": "f2871eaa-c9a1-4d2b-a26c-7d669bd61a87",
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        },
        "category": [
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                "code": "laboratory",
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        ],
        "code": {
          "coding": [
            {
              "code": "6299-2",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
            }
          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 12.6,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            },
            "high": {
              "value": 20,
              "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>09-Jun-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>12.6</td><td>7 - 20</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Tom Hayward"
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        ],
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        "code": {
          "coding": [
            {
              "code": "38483-4",
              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Blood"
            }
          ],
          "text": "Creatinine [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 3.9,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
          {
            "low": {
              "value": 0.6,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.2,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        "interpretation": [
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                "display": "High"
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            ]
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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>09-Jun-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>3.9</td><td>0.6 - 1.2</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2022-06-09T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:e0f1b4be-985f-4425-a5a9-e20344ba38df"
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    },
    {
      "fullUrl": "urn:uuid:0d2addd9-c5de-4b66-8abc-a1449240da39",
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          "profile": [
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        "category": [
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        ],
        "code": {
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            {
              "code": "49765-1",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Blood"
            }
          ],
          "text": "Calcium [Mass/volume] in Blood"
        },
        "valueQuantity": {
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          "value": 8.7,
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          "code": "mg/dL"
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        "referenceRange": [
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              "value": 8.5,
              "code": "mg/dL",
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            },
            "high": {
              "value": 10.5,
              "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>09-Jun-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.7</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
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        "category": [
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        ],
        "code": {
          "coding": [
            {
              "code": "2947-0",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
            }
          ],
          "text": "Sodium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 139,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
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            "low": {
              "value": 135,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 145,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Jun-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.0</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2022-06-09T06:17:44Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:9b7132e7-8b9a-462e-a75e-23c3198bcd71",
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        "resourceType": "Observation",
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        "meta": {
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        "category": [
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
            }
          ],
          "text": "Potassium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4.2,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
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            "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>09-Jun-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.2</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:d7266179-46f7-44d5-94a6-5c3ea079e9e7",
          "display": "Tom Hayward"
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        "effectiveDateTime": "2022-06-09T06:17:44Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:1e17a8c9-08b9-42c9-90cd-a76dbb397af1",
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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": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
            }
          ],
          "text": "Chloride [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 111,
          "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"
            }
          }
        ],
        "interpretation": [
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
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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>09-Jun-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>111.0</td><td>98 - 107</td><td>H</td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2022-06-09T06:17:44Z",
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        "category": [
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        ],
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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": 22.8,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
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              "value": 22,
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 29,
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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>09-Jun-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>22.8</td><td>22 - 29</td><td></td><td>mmol/L</td></tr></table></div>"
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        ],
        "code": {
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            {
              "code": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 188.8,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 200,
              "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>09-Jun-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>188.8</td><td>125 - 200</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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        "effectiveDateTime": "2022-06-09T06:17:44Z",
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              "display": "create"
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          "text": "Synthetic Example Data Generation"
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            "postalCode": "1000",
            "city": "Brussels",
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  "type": "document",
  "timestamp": "2022-06-09T08:17:44Z"
}