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                  {
                    "reference": "urn:uuid:6e1ca645-e115-4d50-95e0-c019aaa1e620"
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                  {
                    "reference": "urn:uuid:d1cdd354-46ca-4296-a489-50d9857f59db"
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                    "reference": "urn:uuid:e0d0134c-c4c9-4327-ba3a-545d6d879362"
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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>01-SEP-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>71.2</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>19.6</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.4 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.7</td><td>8.6 - 10.3</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>109.6 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>28.2</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = trace</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.2 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>71.2</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>19.6</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>0.6</td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.7</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>109.6 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>28.2</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
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                      "code": "18729-4",
                      "system": "http://loinc.org",
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                  "text": "Urinalysis"
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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>01-SEP-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>0.6</td><td>0 - 0.8</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>0.7</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>1.3</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>5.5</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>51.5 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>"
                },
                "title": "Urinalysis"
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                  "text": "Specimen information"
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                  "status": "generated",
                  "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>01-SEP-2023</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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              "status": "generated",
              "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 mildly elevated serum creatinine and chloride, suggesting possible renal impairment or dehydration. Urinalysis reveals proteinuria, glucosuria, low specific gravity, and abnormal appearance (cloudy, brown, ammoniacal), raising suspicion for renal tubular dysfunction or urinary tract pathology. HbA1c is low, indicating no chronic hyperglycemia. No evidence of infection (negative nitrites/leukocytes). Recommend further renal evaluation and correlation with clinical findings.</td></tr></table></div>"
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        "status": "final",
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          "reference": "urn:uuid:9d684e7b-ecf0-4b01-a4a7-629c2fb35ddf",
          "display": "Angelika Bobrowicz"
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        "date": "2023-09-01T08:42:58Z",
        "title": "Laboratory Report",
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        "address": [
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            "use": "home",
            "type": "physical",
            "postalCode": "32-050",
            "city": "Skawina",
            "country": "Poland"
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        ],
        "telecom": [
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            "value": "+48 32 676 18 01"
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        ],
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                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "PL",
                      "system": "urn:iso:std:iso:3166"
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Angelika Bobrowicz</td><td>female</td><td>26-Aug-1952</td></tr></table></div>"
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        "gender": "female",
        "birthDate": "1952-08-26"
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            "system": "http://example.org",
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        ],
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          {
            "reference": "urn:uuid:76ffef2d-b75b-4f93-93a0-86e3b92d9698"
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          {
            "reference": "urn:uuid:6a9b2475-9d85-4b9a-904f-13382d2f555b"
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        ],
        "reasonCode": [
          {
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              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
          },
          {
            "coding": [
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                "code": "431855005",
                "system": "http://snomed.info/sct",
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            ]
          },
          {
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                "code": "237602007",
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                "display": "Metabolic syndrome X"
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            ]
          },
          {
            "coding": [
              {
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            ]
          },
          {
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              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
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          {
            "coding": [
              {
                "code": "91302008",
                "system": "http://snomed.info/sct",
                "display": "Sepsis"
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            ]
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        ],
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          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "active",
        "intent": "order",
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            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
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          ]
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        "subject": {
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          "display": "Angelika Bobrowicz"
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          "profile": [
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        },
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: a4bbb413-0df8-4aad-b507-22ff0d124ec6</div>"
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        "organization": {
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          {
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              "display": "HL7 Europe"
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          {
            "city": "Kraków",
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        ],
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Krakowskie Centrum Rehabilitacji</div>"
        },
        "name": "Krakowskie Centrum Rehabilitacji"
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          ]
        },
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        },
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              "display": "Acellular blood (serum or plasma) specimen"
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    {
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          ]
        },
        "collection": {
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        },
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Urine specimen</td><td><span class=\"nb\">01-Sep-2023</span></td></tr></table></div>"
        },
        "type": {
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            {
              "code": "122575003",
              "system": "http://snomed.info/sct",
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    {
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        },
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        },
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            {
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              "display": "Whole blood specimen (specimen)"
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              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
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          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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          ],
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
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          "text": "Creatinine [Mass/volume] in Serum or Plasma"
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          "value": 1.4,
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            ]
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        ],
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              "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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          "value": 9.7,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "system": "http://unitsofmeasure.org"
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        ],
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        "specimen": {
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              "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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        "valueQuantity": {
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          "value": 139,
          "unit": "mmol/L",
          "code": "mmol/L"
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            "high": {
              "value": 145,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
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        "status": "final",
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        "performer": [
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        "code": {
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              "code": "2823-3",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 4.2,
          "unit": "mmol/L",
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              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
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        },
        "status": "final",
        "subject": {
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        "effectiveDateTime": "2023-09-01T06:42:58Z",
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        ],
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        ],
        "code": {
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            {
              "code": "2514-8",
              "system": "http://loinc.org",
              "display": "Ketones [Presence] in Urine by Test strip"
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          ],
          "text": "Ketones [Presence] in Urine by Test strip"
        },
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          "coding": [
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              "code": "5811-5",
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              "display": "Specific gravity of Urine by Test strip"
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          ],
          "text": "Specific gravity of Urine by Test strip"
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        "valueQuantity": {
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          "value": 1,
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              "value": 1.03,
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        ],
        "text": {
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        ],
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        ],
        "code": {
          "coding": [
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              "code": "5803-2",
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              "display": "pH of Urine by Test strip"
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          ],
          "text": "pH of Urine by Test strip"
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        "valueQuantity": {
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            "high": {
              "value": 8,
              "code": "pH",
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        ],
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        },
        "status": "final",
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          "display": "Angelika Bobrowicz"
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        "effectiveDateTime": "2023-09-01T06:42:58Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:ff9370d6-c33d-44c0-a127-c581342211f5",
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        "id": "ff9370d6-c33d-44c0-a127-c581342211f5",
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        },
        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5804-0",
              "system": "http://loinc.org",
              "display": "Protein [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Protein [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 51.5,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
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            "high": {
              "value": 20,
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                "display": "High"
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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>01-Sep-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>51.5</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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      "fullUrl": "urn:uuid:39658ec5-7e24-4833-b808-fb6a8834f1c3",
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            {
              "code": "20454-5",
              "system": "http://loinc.org",
              "display": "Protein [Presence] in Urine by Test strip"
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          ],
          "text": "Protein [Presence] in Urine by Test strip"
        },
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>01-Sep-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = +</td></tr></table></div>"
        },
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        "valueCodeableConcept": {
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        "code": {
          "coding": [
            {
              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
            }
          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
        },
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>01-Sep-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2023-09-01T06:42:58Z",
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              "display": "Urine nitrite negative"
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      "fullUrl": "urn:uuid:0c3d6ac9-1371-42b9-afa2-b223d5c8a806",
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
            }
          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>01-Sep-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td></tr></table></div>"
        },
        "status": "final",
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              "display": "Urine blood test = negative"
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
            }
          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>01-Sep-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td></tr></table></div>"
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        "effectiveDateTime": "2023-09-01T06:42:58Z",
        "valueCodeableConcept": {
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              "display": "Urine leukocyte test negative"
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      }
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    {
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
            }
          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
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        "valueQuantity": {
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          "value": 3.2,
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              "value": 5.6,
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                "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>01-Sep-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>3.2</td><td>4.0 - 5.6</td><td>L</td><td>%</td></tr></table></div>"
        },
        "status": "final",
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        "category": [
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            ]
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        ],
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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"
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        "valueQuantity": {
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          "value": 71.2,
          "unit": "mg/dL",
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        },
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            },
            "high": {
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              "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>01-Sep-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>71.2</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2023-09-01T06:42:58Z",
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    {
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            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
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        ],
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  "type": "document",
  "timestamp": "2023-09-01T08:42:58Z"
}