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                  {
                    "reference": "urn:uuid:ea288fae-8aeb-45ef-a194-3687cff4c652"
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                  {
                    "reference": "urn:uuid:5307a62f-ca71-40fc-b7f0-21949724a71e"
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                  {
                    "reference": "urn:uuid:16ed7413-87b7-48cf-af15-f7494274f4f9"
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                  {
                    "reference": "urn:uuid:e96221ed-1d77-4342-8742-ed874ad7d107"
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                  {
                    "reference": "urn:uuid:6799742b-50f5-42df-aa40-f24127d6678e"
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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>28-JAN-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td><strong>65.5 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>13.4</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 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>8.7</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>136.5</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.9</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>108.8 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>24.3</td><td>22 - 29</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>4.8 - 5.9</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>65.5 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>13.4</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>1.6 H</strong></td><td>0.6 - 1.3</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>136.5</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.9</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>108.8</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>24.3</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",
                      "display": "Urinalysis studies (set)"
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                  "text": "Urinalysis"
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                "entry": [
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                    "reference": "urn:uuid:a03796f1-6fae-4296-9dfb-e5e154e0e93a"
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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>28-JAN-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.9</td><td>0 - 20</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>1.3</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><strong>14.4 H</strong></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>7.0</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>311.7 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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              {
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                "entry": [
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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>28-JAN-2024</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 hypoglycemia, low HbA1c, elevated creatinine, proteinuria, ketonuria, and abnormal urine appearance (cloudy, brown, ammoniacal). These findings suggest impaired renal function, possible nephrotic syndrome, and metabolic derangement (possibly starvation or poorly controlled diabetes with hypoglycemia). No evidence of urinary tract infection. Recommend urgent clinical correlation and further nephrological and metabolic evaluation.</td></tr></table></div>"
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          "reference": "urn:uuid:3c2d38e8-2f4d-48d6-9925-f381f2f9ddf2",
          "display": "Ahmed Wirth"
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        "date": "2024-01-28T00:37:39Z",
        "title": "Laboratory Report",
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              "system": "http://loinc.org",
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          "tag": [
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              "code": "synthetic",
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        "identifier": [
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        "address": [
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            "use": "home",
            "type": "physical",
            "postalCode": "96317",
            "city": "Kronach",
            "country": "Germany"
          }
        ],
        "telecom": [
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            "system": "phone",
            "value": "06478333493"
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        ],
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                      "code": "DE",
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Ahmed Wirth</td><td>male</td><td>02-Oct-1948</td></tr></table></div>"
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        "gender": "male",
        "birthDate": "1948-10-02"
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    {
      "fullUrl": "urn:uuid:1506ad57-4a09-48d6-90ca-791a22383c1e",
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        "resourceType": "ServiceRequest",
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        },
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          {
            "reference": "urn:uuid:7d321f19-3497-4448-bfa9-0f3162e0ada0"
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        ],
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                "code": "127013003",
                "system": "http://snomed.info/sct",
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            ]
          },
          {
            "coding": [
              {
                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
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            ]
          },
          {
            "coding": [
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                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
          },
          {
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              {
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                "system": "http://snomed.info/sct",
                "display": "Chronic sinusitis"
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            ]
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          {
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                "display": "Ischemic heart disease"
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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": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
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            ]
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "active",
        "intent": "order",
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              "display": "Laboratory procedure"
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      "resource": {
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        "id": "a9399a04-08c4-42fb-8765-98271fb50268",
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: a9399a04-08c4-42fb-8765-98271fb50268</div>"
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        "organization": {
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            "assigner": {
              "display": "HL7 Europe"
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          {
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              "Friesener Straße 41"
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            "city": "Kronach",
            "postalCode": "96317",
            "country": "Germany"
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        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Medizinisches Versorgungszentrum Kronach</div>"
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        "name": "Medizinisches Versorgungszentrum Kronach"
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      "fullUrl": "urn:uuid:5373d545-1023-4043-bee8-b1d2c3c0655e",
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
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          "status": "generated",
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        },
        "type": {
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            {
              "code": "122592007",
              "system": "http://snomed.info/sct",
              "display": "Acellular blood (serum or plasma) specimen"
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    {
      "fullUrl": "urn:uuid:4faab54a-608f-4b29-84f8-44a2c8dc9fb4",
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        },
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          "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\">27-Jan-2024</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122575003",
              "system": "http://snomed.info/sct",
              "display": "Urine specimen"
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          "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>Whole blood specimen (specimen)</td><td><span class=\"nb\">27-Jan-2024</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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    {
      "fullUrl": "urn:uuid:1803a787-98ab-4e2e-93fc-68cc2baa7f03",
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            {
              "code": "2345-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Glucose [Mass/volume] in Serum or Plasma"
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          "unit": "mg/dL",
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              "value": 70,
              "code": "mg/dL",
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              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>28-Jan-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>65.5</td><td>70 - 100</td><td>L</td><td>mg/dL</td></tr></table></div>"
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:3c2d38e8-2f4d-48d6-9925-f381f2f9ddf2",
          "display": "Ahmed Wirth"
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        "specimen": {
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        },
        "category": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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        "code": {
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              "code": "3094-0",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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          "text": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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          "value": 13.4,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
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        },
        "status": "final",
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          "display": "Ahmed Wirth"
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        "specimen": {
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    {
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        "code": {
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              "code": "2160-0",
              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Serum or Plasma"
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          "text": "Creatinine [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 2,
          "unit": "mg/dL",
          "code": "mg/dL"
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            "low": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 1.3,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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            ]
          }
        ],
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        },
        "status": "final",
        "subject": {
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        "effectiveDateTime": "2024-01-27T23:37:39Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:9910d3be-2fb6-4be0-bbcc-63db733ffeab",
      "resource": {
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        "id": "9910d3be-2fb6-4be0-bbcc-63db733ffeab",
        "meta": {
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        "category": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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        ],
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            "display": "The Central European Lab"
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        "code": {
          "coding": [
            {
              "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": {
          "system": "http://unitsofmeasure.org",
          "value": 8.7,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 10.3,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
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        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:3c2d38e8-2f4d-48d6-9925-f381f2f9ddf2",
          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2024-01-27T23:37:39Z",
        "specimen": {
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      }
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    {
      "fullUrl": "urn:uuid:83d99aed-b122-46e6-8162-6676a831afd2",
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        "meta": {
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        "performer": [
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        "code": {
          "coding": [
            {
              "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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 136.5,
          "unit": "mmol/L",
          "code": "mmol/L"
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              "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>28-Jan-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>136.5</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Ahmed Wirth"
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        "effectiveDateTime": "2024-01-27T23:37:39Z",
        "specimen": {
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      }
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    {
      "fullUrl": "urn:uuid:a563647a-4812-4218-8a56-040ae8333b71",
      "resource": {
        "resourceType": "Observation",
        "id": "a563647a-4812-4218-8a56-040ae8333b71",
        "meta": {
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        "category": [
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                "code": "laboratory",
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        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "2823-3",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4.9,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "referenceRange": [
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              "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>28-Jan-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.9</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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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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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>28-Jan-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = +</td></tr></table></div>"
        },
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        "code": {
          "coding": [
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              "code": "5811-5",
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              "display": "Specific gravity of Urine by Test strip"
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          "value": 1,
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              "value": 1.03,
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        ],
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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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              "system": "http://unitsofmeasure.org"
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        },
        "status": "final",
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          "display": "Ahmed Wirth"
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        "specimen": {
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        }
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    },
    {
      "fullUrl": "urn:uuid:b0d048ee-a7d8-4a8d-96c1-94ecee5605be",
      "resource": {
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        "id": "b0d048ee-a7d8-4a8d-96c1-94ecee5605be",
        "meta": {
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        "code": {
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              "code": "5804-0",
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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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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 311.7,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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              "value": 0,
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              "system": "http://unitsofmeasure.org"
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            "high": {
              "value": 20,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
        "text": {
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        },
        "status": "final",
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              "code": "20454-5",
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              "display": "Protein [Presence] in Urine by Test strip"
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          "text": "Protein [Presence] in Urine by Test strip"
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        },
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        "code": {
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              "code": "5802-4",
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              "display": "Nitrite [Presence] in Urine by Test strip"
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          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
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        "text": {
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              "display": "Urine nitrite negative"
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              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          ],
          "text": "Hemoglobin [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>28-Jan-2024</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": "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"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>28-Jan-2024</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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              "code": "4548-4",
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              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
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          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
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        "valueQuantity": {
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          "value": 3.3,
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        "text": {
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              "code": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
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          ],
          "text": "Glucose [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 65.5,
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        "referenceRange": [
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                "display": "Low"
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            ]
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        ],
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            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
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  "timestamp": "2024-01-28T00:37:39Z"
}
