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          "coding": [
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        "section": [
          {
            "code": {
              "coding": [
                {
                  "code": "26436-6",
                  "system": "http://loinc.org",
                  "display": "Laboratory studies (set)"
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            "section": [
              {
                "code": {
                  "coding": [
                    {
                      "code": "18719-5",
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                "text": {
                  "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>20-JAN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><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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              {
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                      "code": "18729-4",
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                      "display": "Urinalysis studies (set)"
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                  {
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                    "reference": "urn:uuid:3025de3f-8f02-488b-a79f-99a51a26898c"
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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>20-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>10.8</td><td>0 - 15</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>7.0</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>7.4</td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite positive</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = +</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test</td><td></td><td></td></tr><tr><td>Leukocytes [#/area] in Urine sediment by Microscopy high power field</td><td><strong>34.0 H</strong></td><td>0 - 5</td><td>/[HPF]</td></tr><tr><td>Erythrocytes [#/area] in Urine sediment by Microscopy high power field</td><td>2.4</td><td>0 - 5</td><td>/[HPF]</td></tr><tr><td>Epithelial cells [#/area] in Urine sediment by Microscopy high power field</td><td>2.0</td><td>0 - 10</td><td>/[HPF]</td></tr><tr><td>Casts [Presence] in Urine sediment by Light microscopy</td><td>Urine microscopy: no casts</td><td></td><td></td></tr><tr><td>Mucus [Presence] in Urine sediment by Light microscopy</td><td>Mucus in urine</td><td></td><td></td></tr><tr><td>Bacteria [#/area] in Urine sediment by Microscopy high power field</td><td>Finding of presence of bacteria</td><td></td><td></td></tr></tbody></table></div>"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Microbiology</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>20-JAN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Bacteria identified in Urine by Culture</td><td></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 urine findings indicate a urinary tract infection (UTI) with significant bacteriuria (&gt;100,000 CFU/mL E. coli), positive nitrites, leukocyte esterase, hematuria, and marked pyuria. The low specific gravity may reflect dilute urine. No casts are seen, suggesting no upper tract involvement. Recommend clinical correlation and appropriate antibiotic therapy.</td></tr></table></div>"
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            "title": "Annotation comment"
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          "reference": "urn:uuid:b6821399-84ee-49f3-98eb-5d08e8da582b",
          "display": "Alexandria Julien"
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        "date": "2025-01-20T06:57:34Z",
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        "subject": {
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          "display": "Alexandria Julien"
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            "system": "http://local.setting.eu/identifier",
            "value": "31b22bcf-cd4f-fdee-7d3b-9b5ae44266b0"
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        ],
        "name": [
          {
            "given": [
              "Alexandria"
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            "family": "Julien",
            "text": "Alexandria Julien"
          }
        ],
        "address": [
          {
            "line": [
              "253, rue de Clément"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "69590",
            "city": "Sainte Catherine",
            "country": "France"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+33 (0)1 46 99 14 09"
          }
        ],
        "extension": [
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            "extension": [
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                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "FR",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "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>Alexandria Julien</td><td>female</td><td>22-Mar-1959</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1959-03-22"
      }
    },
    {
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
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            ]
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          {
            "coding": [
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                "code": "237602007",
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            ]
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            "coding": [
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                "display": "Ischemic heart disease"
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          },
          {
            "coding": [
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                "code": "40055000",
                "system": "http://snomed.info/sct",
                "display": "Chronic sinusitis"
              }
            ]
          }
        ],
        "text": {
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        },
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          ]
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        "subject": {
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    {
      "fullUrl": "urn:uuid:62d2fed1-c10a-41d9-b508-47a153d68c44",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "62d2fed1-c10a-41d9-b508-47a153d68c44",
        "meta": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 62d2fed1-c10a-41d9-b508-47a153d68c44</div>"
        },
        "organization": {
          "reference": "urn:uuid:d3a96854-9447-47f7-a6b1-5e72ca0bd3bc"
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    {
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      "resource": {
        "resourceType": "Organization",
        "id": "d3a96854-9447-47f7-a6b1-5e72ca0bd3bc",
        "meta": {
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        "identifier": [
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            "value": "999547d1-3011-4858-aed2-eb1e5ffc0af2"
          }
        ],
        "address": [
          {
            "line": [
              "Rue Pasteur 5"
            ],
            "country": "France"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Centre Médical et Pédagogique Jacques Arnaud</div>"
        },
        "name": "Centre Médical et Pédagogique Jacques Arnaud"
      }
    },
    {
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Urine specimen</td><td><span class=\"nb\">20-Jan-2025</span></td></tr></table></div>"
        },
        "type": {
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              "system": "http://snomed.info/sct",
              "display": "Urine specimen"
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          ]
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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>Specimen</th><th>Collection Date</th></tr><tr><td>Urine sediment specimen (specimen)</td><td><span class=\"nb\">20-Jan-2025</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122567009",
              "system": "http://snomed.info/sct",
              "display": "Urine sediment specimen (specimen)"
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          ]
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              "display": "Epithelial cells [#/area] in Urine sediment by Microscopy high power field"
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}
