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                    "reference": "urn:uuid:24af4ae5-e99f-4294-ac77-09159f37647b"
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                  {
                    "reference": "urn:uuid:b8ca04ec-f26c-41cd-938d-21ff76a7ef2c"
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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>19-AUG-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>98.7</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>16.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.8 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.9</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>136.0</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>105.1</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>24.0</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>4.1</td><td>3.5 - 5.5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td><strong>3.4 L</strong></td><td>25 - 35</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.7</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>64.5</td><td>30 - 120</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>51.7 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>31.4</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>19-AUG-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>1.3 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>0.9</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>1.8</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>6.3</td><td>5.5 - 7.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>337.2 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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                "entry": [
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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>19-AUG-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 elevated serum creatinine, proteinuria, and abnormal urine findings (cloudy, brown, low specific gravity, glucosuria, ketonuria), suggesting significant renal impairment, possibly acute or chronic kidney disease with nephrotic features. Mildly elevated ALT may indicate hepatic involvement. No evidence of urinary tract infection. Further nephrological and possibly hepatological evaluation is recommended.</td></tr></table></div>"
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        "date": "2019-08-19T23:48:19Z",
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        "subject": {
          "reference": "urn:uuid:c2f133e2-906f-45dc-b7f9-ae3de02b9bfc",
          "display": "Atenulf Sorrentino"
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        ],
        "name": [
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            "family": "Sorrentino",
            "text": "Atenulf Sorrentino"
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        ],
        "address": [
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            "line": [
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            "use": "home",
            "type": "physical",
            "postalCode": "09010",
            "city": "Domusnovas Canales",
            "country": "Italy"
          }
        ],
        "telecom": [
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            "system": "phone",
            "value": "3438458994"
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        ],
        "extension": [
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            "extension": [
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
          "status": "generated",
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            {
              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
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          ],
          "text": "Chloride [Moles/volume] in Blood"
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          "value": 105.1,
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        "code": {
          "coding": [
            {
              "code": "20565-8",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          "text": "Carbon dioxide, total [Moles/volume] in Blood"
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          "value": 24,
          "unit": "mmol/L",
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              "value": 29,
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              "system": "http://unitsofmeasure.org"
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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"
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        "valueQuantity": {
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          "value": 6.6,
          "unit": "g/dL",
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        "referenceRange": [
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            "high": {
              "value": 8.3,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
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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>Test</th><th>19-Aug-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",
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              "display": "Albumin [Mass/volume] in Serum or Plasma"
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          "value": 4.1,
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        },
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              "display": "Globulin [Mass/volume] in Serum by calculation"
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          "text": "Globulin [Mass/volume] in Serum by calculation"
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          "value": 3.4,
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        ],
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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"
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          ],
          "text": "Bilirubin.total [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 0.7,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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            "low": {
              "value": 0.1,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.2,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
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        },
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      }
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    {
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        },
        "category": [
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        "code": {
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              "code": "6768-6",
              "system": "http://loinc.org",
              "display": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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          "text": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 64.5,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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            "high": {
              "value": 120,
              "code": "U/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "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>19-Aug-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>64.5</td><td>30 - 120</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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        "specimen": {
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        ],
        "code": {
          "coding": [
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              "code": "1742-6",
              "system": "http://loinc.org",
              "display": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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          "text": "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 51.7,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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            "high": {
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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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>Test</th><th>19-Aug-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>51.7</td><td>10 - 40</td><td>H</td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2019-08-19T21:48:19Z",
        "specimen": {
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        },
        "category": [
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        ],
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        ],
        "code": {
          "coding": [
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              "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"
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        "valueQuantity": {
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          "value": 31.4,
          "unit": "U/L",
          "code": "U/L"
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        "referenceRange": [
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            },
            "high": {
              "value": 40,
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              "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>19-Aug-2019</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>31.4</td><td>10 - 40</td><td></td><td>U/L</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2019-08-19T21:48:19Z",
        "specimen": {
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        "meta": {
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        "category": [
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        ],
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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>19-Aug-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",
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          "value": 6.3,
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              "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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          "value": 337.2,
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          "text": "Protein [Presence] in Urine by Test strip"
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              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
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          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>19-Aug-2019</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>"
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        "code": {
          "coding": [
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              "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>19-Aug-2019</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>"
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        "code": {
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              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>19-Aug-2019</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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        "valueCodeableConcept": {
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      "fullUrl": "urn:uuid:ed08155e-8aee-4397-b8ec-ec33fd1b01a4",
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        "resourceType": "Device",
        "id": "ed08155e-8aee-4397-b8ec-ec33fd1b01a4",
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            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
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          ],
          "text": "Synthetic Example Data Generation"
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        "agent": [
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                "display": "training"
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            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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        "recorded": "2019-08-19T23:48:19Z"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 113fb18f-b662-4b7e-8a7f-840737490adb</div>"
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        "practitioner": {
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        "name": [
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        ],
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              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
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        ],
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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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  "type": "document",
  "timestamp": "2019-08-19T23:48:19Z"
}