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                  {
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                    "reference": "urn:uuid:a801e932-9b42-454d-a6de-385035b395de"
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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>29-JAN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td><strong>69.1 L</strong></td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>18.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.9 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>8.6</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.8</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>105.2</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td><strong>20.2 L</strong></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>3.4 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>69.1 L</strong></td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>18.0</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>1.9 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.6</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.8</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>105.2</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>20.2 L</strong></td><td>22 - 29</td><td>mmol/L</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>29-JAN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>0.5</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>1.0</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>11.2 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>6.0</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>322.3 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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                  "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>29-JAN-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>"
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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 mild hypoglycemia and low HbA1c, suggesting possible chronic low glucose. Elevated creatinine indicates impaired renal function. Urine findings (proteinuria, ketonuria, bilirubin, brown color, low specific gravity) suggest significant renal and/or hepatic dysfunction, possible dehydration, and metabolic derangement. No evidence of urinary infection. Recommend urgent clinical assessment for renal and metabolic status, and evaluation for underlying causes.</td></tr></table></div>"
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          "display": "Patricia Joubert"
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        "date": "2025-01-29T07:42:07Z",
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            "use": "home",
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            "postalCode": "50570",
            "city": "Delahaye-la-Forêt",
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                  ]
                }
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            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
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          {
            "reference": "urn:uuid:4226106e-a271-4ac6-84ea-bfe58ee13881"
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          {
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              {
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                "display": "Proteinuria due to type 2 diabetes mellitus"
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              {
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            ]
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          {
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                "display": "Chronic kidney disease stage 1"
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                "display": "Chronic sinusitis"
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                "display": "Mitral valve stenosis"
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              "display": "Whole blood specimen (specimen)"
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              "display": "Creatinine [Mass/volume] in Serum or Plasma"
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          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
        "text": {
          "status": "generated",
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          "display": "Patricia Joubert"
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        "specimen": {
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              "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"
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        "valueQuantity": {
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          "value": 139.8,
          "unit": "mmol/L",
          "code": "mmol/L"
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              "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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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.8</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
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        "status": "final",
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        "specimen": {
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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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          "value": 5,
          "unit": "mmol/L",
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              "code": "5797-6",
              "system": "http://loinc.org",
              "display": "Ketones [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Ketones [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 11.2,
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            "high": {
              "value": 4,
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        ],
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "2514-8",
              "system": "http://loinc.org",
              "display": "Ketones [Presence] in Urine by Test strip"
            }
          ],
          "text": "Ketones [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>29-Jan-2025</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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          ],
          "text": "Specific gravity of Urine by Test strip"
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        "valueQuantity": {
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          "value": 1,
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              "unit": "Specific Gravity"
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              "value": 1.03,
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              "system": "http://unitsofmeasure.org",
              "unit": "Specific Gravity"
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        ],
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          "status": "generated",
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        "code": {
          "coding": [
            {
              "code": "5803-2",
              "system": "http://loinc.org",
              "display": "pH of Urine by Test strip"
            }
          ],
          "text": "pH of Urine by Test strip"
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        "valueQuantity": {
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          "value": 6,
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            "high": {
              "value": 8,
              "code": "pH",
              "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>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>6.0</td><td>5.0 - 8.0</td><td></td><td>pH</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:55aeec44-bf65-4a3b-85c5-7147d6b92d38",
          "display": "Patricia Joubert"
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        "effectiveDateTime": "2025-01-29T06:42:07Z",
        "specimen": {
          "reference": "urn:uuid:09a9538a-7055-4cf5-9173-e9079c5efeeb"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3959cd01-9a77-4311-91ea-f04bc60cfdda",
      "resource": {
        "resourceType": "Observation",
        "id": "3959cd01-9a77-4311-91ea-f04bc60cfdda",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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            ]
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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"
            }
          ],
          "text": "Protein [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 322.3,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 20,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        ],
        "interpretation": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>322.3</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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      "fullUrl": "urn:uuid:c87576c3-6c22-4f45-bb6a-4d76e736ba34",
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        "code": {
          "coding": [
            {
              "code": "20454-5",
              "system": "http://loinc.org",
              "display": "Protein [Presence] in Urine by Test strip"
            }
          ],
          "text": "Protein [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>29-Jan-2025</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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        "effectiveDateTime": "2025-01-29T06:42:07Z",
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              "display": "Urine protein test = ++"
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        ],
        "code": {
          "coding": [
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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"
        },
        "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>29-Jan-2025</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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        "valueCodeableConcept": {
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              "display": "Urine nitrite negative"
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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"
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          ],
          "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>29-Jan-2025</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>29-Jan-2025</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>"
        },
        "status": "final",
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        "effectiveDateTime": "2025-01-29T06:42:07Z",
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              "display": "Urine leukocyte test negative"
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        "code": {
          "coding": [
            {
              "code": "4548-4",
              "system": "http://loinc.org",
              "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": 3.4,
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            "high": {
              "value": 5.6,
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          }
        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
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        "effectiveDateTime": "2025-01-29T06:42:07Z",
        "specimen": {
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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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 69.1,
          "unit": "mg/dL",
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        "referenceRange": [
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            },
            "high": {
              "value": 140,
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              "code": "6299-2",
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              "display": "Urea nitrogen [Mass/volume] in Blood"
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          "text": "Urea nitrogen [Mass/volume] in Blood"
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        "valueQuantity": {
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            "high": {
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              "display": "Creatinine [Mass/volume] in Blood"
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          ],
          "text": "Creatinine [Mass/volume] in Blood"
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        "valueQuantity": {
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          "value": 1.9,
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              "display": "Calcium [Mass/volume] in Blood"
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          "value": 8.6,
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              "value": 10.5,
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              "system": "http://unitsofmeasure.org"
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        "text": {
          "status": "generated",
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              "display": "Sodium [Moles/volume] in Blood"
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          ],
          "text": "Sodium [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 139.8,
          "unit": "mmol/L",
          "code": "mmol/L"
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            "high": {
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              "system": "http://unitsofmeasure.org"
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        ],
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              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
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          ],
          "text": "Potassium [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 5,
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            "high": {
              "value": 5.1,
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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>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.0</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
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        "code": {
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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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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 105.2,
          "unit": "mmol/L",
          "code": "mmol/L"
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            "high": {
              "value": 107,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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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>29-Jan-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>105.2</td><td>98 - 107</td><td></td><td>mmol/L</td></tr></table></div>"
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              "code": "20565-8",
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 20.2,
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            "type": "manufacturer-name"
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        "status": "active",
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          ],
          "text": "Synthetic Example Data Generation"
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            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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        "recorded": "2025-01-29T07:42:07Z"
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        "meta": {
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 99d74045-9937-4238-8f33-68c8db73db1a</div>"
        },
        "practitioner": {
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        "name": [
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            "given": [
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            "family": "Ample"
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        ],
        "address": [
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            "line": [
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              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
        }
      }
    }
  ],
  "type": "document",
  "timestamp": "2025-01-29T07:42:07Z"
}