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            "code": {
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                  "display": "Laboratory studies (set)"
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                "code": {
                  "coding": [
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                      "code": "18723-7",
                      "system": "http://loinc.org",
                      "display": "Hematology studies (set)"
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                  "text": "Hematology"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Hematology</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>20-MAR-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>6.5</td><td>4.0 - 11.0</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td><strong>4.0 L</strong></td><td>4.2 - 5.6</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>15.1</td><td>13.5 - 17.5</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td><strong>35.5 L</strong></td><td>37 - 49</td><td>%</td></tr><tr><td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td><td>93.4</td><td>80 - 100</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>27.7</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td><td>33.9</td><td>32 - 36</td><td>g/dL</td></tr><tr><td>Erythrocyte distribution width [Entitic volume] by Automated count</td><td>44.1</td><td>36 - 48</td><td>fL</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>300.6</td><td>150 - 450</td><td>10*3/uL</td></tr><tr><td>Platelet distribution width [Entitic volume] in Blood by Automated count</td><td><strong>496.8 H</strong></td><td>9.4 - 12.3</td><td>fL</td></tr><tr><td>Platelet [Entitic mean volume] in Blood by Automated count</td><td><strong>12.3 H</strong></td><td>7.2 - 11.5</td><td>fL</td></tr></tbody></table></div>"
                },
                "title": "Hematology"
              },
              {
                "code": {
                  "coding": [
                    {
                      "code": "18719-5",
                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
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                  ],
                  "text": "Chemistry"
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                "entry": [
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                    "reference": "urn:uuid:773fbc03-6e5b-4d8e-a674-7beb7282b3bc"
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                    "reference": "urn:uuid:6884dee7-027e-42ee-b9f9-2f429411436a"
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                    "reference": "urn:uuid:f1694728-d2ba-4d08-8e3c-5f60c5d33e0f"
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                    "reference": "urn:uuid:51c30c3c-314e-41fd-a65f-89d60d747238"
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                    "reference": "urn:uuid:4a0aefa5-424f-4f2a-a46b-1e2d7a2475a0"
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                  {
                    "reference": "urn:uuid:4ccde8a9-da4c-47e1-83f2-bcc577e37b93"
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                    "reference": "urn:uuid:808248d1-a620-464f-9787-f15f1dd075fe"
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                    "reference": "urn:uuid:d992d276-e8c9-4126-939b-aa0658657a8d"
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                  {
                    "reference": "urn:uuid:81a36ce2-5094-44e3-9cf4-a3383d203637"
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                  {
                    "reference": "urn:uuid:f1d844a4-a1af-43df-87f8-b04b52bc0605"
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                  {
                    "reference": "urn:uuid:ced45da8-ca8b-4d82-9afd-976932f16a80"
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                  {
                    "reference": "urn:uuid:e486e2d5-b3f1-4963-b866-9c43114741d7"
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                  {
                    "reference": "urn:uuid:77cdab66-1641-4df8-b978-b227f6dffda0"
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                  {
                    "reference": "urn:uuid:d353462b-ac43-4130-a885-1a53e8d592ec"
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                    "reference": "urn:uuid:a629c011-bf32-45b3-ad57-45f305ca68b3"
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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-MAR-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>71.5</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>18.3</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.5 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>9.5</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>142.2</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>106.2</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>22.0</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</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>71.5</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>18.3</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>9.3 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.5</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>142.2</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>106.2</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>22.0</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>129.5</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>133.7</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>50.6</td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>52.1</td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td><strong>348.6 H</strong></td><td>0 - 30</td><td>mg/g</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
                "code": {
                  "coding": [
                    {
                      "code": "18729-4",
                      "system": "http://loinc.org",
                      "display": "Urinalysis studies (set)"
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                  ],
                  "text": "Urinalysis"
                },
                "entry": [
                  {
                    "reference": "urn:uuid:5cdfe171-89c8-4b2d-96d9-6c6e79b45ab9"
                  },
                  {
                    "reference": "urn:uuid:ca07ab66-ac50-42ad-b4d7-009b9e69e58b"
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                  {
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                  {
                    "reference": "urn:uuid:dd257a54-e576-4ea6-a593-e95ff9ece83a"
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                  {
                    "reference": "urn:uuid:84d000c3-13eb-4889-bc03-0dcbdf21a202"
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                  {
                    "reference": "urn:uuid:068d1684-396e-4336-9e33-0967d6344ea3"
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                  {
                    "reference": "urn:uuid:c888f5f6-45a2-4384-a5fd-be398d62444d"
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                  {
                    "reference": "urn:uuid:992c4a41-dc8d-451a-8d4f-3e931cf42fcb"
                  },
                  {
                    "reference": "urn:uuid:79bb278a-612c-48ae-9471-267dba319173"
                  },
                  {
                    "reference": "urn:uuid:df7d315d-a8ac-4493-8d5d-c777367af44f"
                  },
                  {
                    "reference": "urn:uuid:cb88160e-d1e2-4da8-81b5-88cbbdd3381b"
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                "text": {
                  "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-MAR-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>2.0</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>1.4 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>7.4</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>6.9</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>251.2 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"
              },
              {
                "code": {
                  "coding": [
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                      "system": "http://loinc.org",
                      "display": "Specimen information"
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                  ],
                  "text": "Specimen information"
                },
                "entry": [
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                    "reference": "urn:uuid:c3d9748b-b319-4a96-a6c5-915fa75fe4b6"
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                "text": {
                  "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>20-MAR-2025</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>"
                },
                "title": "Specimen information"
              }
            ],
            "title": "Laboratory Report"
          },
          {
            "text": {
              "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 markedly elevated creatinine and microalbumin/creatinine ratio, indicating significant renal impairment. Urinalysis reveals proteinuria, bilirubinuria, glucosuria, ketonuria, low specific gravity, and abnormal urine color/appearance, supporting renal dysfunction. Mild anemia is present. HbA1c is low, suggesting no chronic hyperglycemia. No evidence of infection. Recommend urgent nephrology evaluation for possible acute or chronic kidney disease and further assessment of underlying etiology.</td></tr></table></div>"
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        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:a9ce8a8f-973d-46ee-93dc-e5da8a9bc2a6",
          "display": "Tom Hayward"
        },
        "date": "2025-03-20T07:17:44Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
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              "code": "5767-9",
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              "code": "5778-6",
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              "display": "Glucose [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Glucose [Mass/volume] in Urine by Test strip"
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          "value": 2,
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          ],
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          "value": 106.2,
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              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
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              "display": "Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"
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              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
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          "value": 52.1,
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              "system": "http://loinc.org",
              "display": "Microalbumin/Creatinine [Mass Ratio] in Urine"
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          "text": "Microalbumin/Creatinine [Mass Ratio] in Urine"
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          "value": 348.6,
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              "code": "6690-2",
              "system": "http://loinc.org",
              "display": "Leukocytes [#/volume] in Blood by Automated count"
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        "code": {
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              "display": "Erythrocytes [#/volume] in Blood by Automated count"
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          ],
          "text": "Erythrocytes [#/volume] in Blood by Automated count"
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        "valueQuantity": {
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          "value": 4,
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        },
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              "display": "Hemoglobin [Mass/volume] in Blood"
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          ],
          "text": "Hemoglobin [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 15.1,
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        },
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        "code": {
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              "code": "4544-3",
              "system": "http://loinc.org",
              "display": "Hematocrit [Volume Fraction] of Blood by Automated count"
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          ],
          "text": "Hematocrit [Volume Fraction] of Blood by Automated count"
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        "valueQuantity": {
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          "value": 35.5,
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            ]
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        ],
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        },
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            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
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        ],
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}