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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>13-OCT-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>73.5</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>15.8</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.1 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>8.6</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>138.1</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>110.2 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>26.1</td><td>22 - 32</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>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>73.5</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>15.8</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>6.1 H</strong></td><td>0.6 - 1.2</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>138.1</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>110.2 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.1</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>205.5 H</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>124.6</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><strong>125.5 H</strong></td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>55.2</td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td><strong>261.8 H</strong></td><td>0 - 30</td><td>mg/g</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>13-OCT-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>1.6</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>0.6</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>12.4</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>6.0</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>307.9 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>"
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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>13-OCT-2022</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 markedly elevated creatinine and proteinuria, suggesting significant renal impairment, possibly chronic kidney disease. Urine findings (cloudy, brown, low specific gravity, protein, glucose, ketones, bilirubin) further support renal dysfunction and possible tubular damage. Elevated LDL and total cholesterol increase cardiovascular risk. Hemoglobin A1c is low, but urine glucose and ketones are present—consider possible glycosuria unrelated to hyperglycemia or lab artifact. Recommend urgent nephrology evaluation and further assessment for underlying etiology and complications.</td></tr></table></div>"
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              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
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        },
        "identifier": [
          {
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              ]
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "3376-612163-7"
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          {
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              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "8e2c4509-b594-9ec4-42db-847eccf28678"
          }
        ],
        "name": [
          {
            "given": [
              "Tom"
            ],
            "family": "Hayward",
            "text": "Tom Hayward"
          }
        ],
        "address": [
          {
            "line": [
              "391 Dean locks"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "M1",
            "city": "Manchester",
            "country": "United Kingdom"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+44(0)808 1570544"
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        ],
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          {
            "extension": [
              {
                "url": "code",
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                    {
                      "code": "GB",
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                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
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        "gender": "male",
        "birthDate": "1975-04-07"
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      "fullUrl": "urn:uuid:5da94df1-0097-4f3c-808c-2d2fd2cb63f9",
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        "resourceType": "ServiceRequest",
        "id": "5da94df1-0097-4f3c-808c-2d2fd2cb63f9",
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          "profile": [
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        },
        "identifier": [
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            "value": "b069d21a-1ede-4bd5-848c-16e694efb11d"
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          {
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          {
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            ]
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          {
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            ]
          },
          {
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              {
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                "display": "Proteinuria due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
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                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
          },
          {
            "coding": [
              {
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                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
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            ]
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          {
            "coding": [
              {
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                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
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          {
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                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "1551000119108",
                "system": "http://snomed.info/sct",
                "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "422034002",
                "system": "http://snomed.info/sct",
                "display": "Retinopathy due to type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "80394007",
                "system": "http://snomed.info/sct",
                "display": "Hyperglycemia"
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            ]
          },
          {
            "coding": [
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                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "302870006",
                "system": "http://snomed.info/sct",
                "display": "Hypertriglyceridemia"
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            ]
          },
          {
            "coding": [
              {
                "code": "44054006",
                "system": "http://snomed.info/sct",
                "display": "Type 2 diabetes mellitus"
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            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:f789eecc-240a-49d0-b977-5d89a645cbad",
          "display": "Tom Hayward"
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        "requester": {
          "reference": "urn:uuid:1a161381-a1e4-4de9-a4f5-be17e166f98e"
        }
      }
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    {
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      "resource": {
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        "id": "1a161381-a1e4-4de9-a4f5-be17e166f98e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
          ]
        },
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 1a161381-a1e4-4de9-a4f5-be17e166f98e</div>"
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              "display": "HL7 Europe"
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              "City Road 204"
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            "city": "Manchester",
            "postalCode": "M3 3",
            "country": "United Kingdom"
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        ],
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Cornbrook Medical Practice</div>"
        },
        "name": "Cornbrook Medical Practice"
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    {
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        },
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              "display": "Acellular blood (serum or plasma) specimen"
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          ]
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    {
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        },
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        "text": {
          "status": "generated",
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        },
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              "display": "Urine specimen"
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          ]
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    {
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        },
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        },
        "type": {
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            {
              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:79b44a61-23d7-4569-b661-bdfd46df633a",
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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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          "value": 73.5,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
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            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "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>13-Oct-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>73.5</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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        "specimen": {
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    {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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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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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        },
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        "specimen": {
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    {
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      "resource": {
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        "meta": {
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        ],
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        "code": {
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              "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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          "value": 2.1,
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                "display": "High"
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            ]
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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>13-Oct-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td>2.1</td><td>0.6 - 1.2</td><td>H</td><td>mg/dL</td></tr></table></div>"
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        "status": "final",
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        "specimen": {
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    {
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      "resource": {
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        "id": "edf67f09-f7b1-4f5e-afaf-24d5679460a7",
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        },
        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
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        ],
        "code": {
          "coding": [
            {
              "code": "17861-6",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Calcium [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 8.6,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 8.5,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 10.5,
              "code": "mg/dL",
              "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>13-Oct-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>8.6</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:f789eecc-240a-49d0-b977-5d89a645cbad",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2022-10-13T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:87c37765-e467-4012-b9fc-b9b27ce2be21"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:75a99c15-f1f3-4471-a8ff-5037d753ee1f",
      "resource": {
        "resourceType": "Observation",
        "id": "75a99c15-f1f3-4471-a8ff-5037d753ee1f",
        "meta": {
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        },
        "category": [
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            ]
          }
        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 138.1,
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
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          {
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        ],
        "code": {
          "coding": [
            {
              "code": "5770-3",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Presence] in Urine by Test strip"
            }
          ],
          "text": "Bilirubin.total [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>13-Oct-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2022-10-13T06:17:44Z",
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              "code": "275778006",
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              "display": "Finding of bilirubin in urine"
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        "category": [
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        ],
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        ],
        "code": {
          "coding": [
            {
              "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": 12.4,
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            "high": {
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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>Test</th><th>13-Oct-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>12.4</td><td>0 - 20</td><td></td><td>mg/dL</td></tr></table></div>"
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    {
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        },
        "category": [
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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": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>13-Oct-2022</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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        "valueCodeableConcept": {
          "coding": [
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              "display": "Urine ketone test = ++"
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    {
      "fullUrl": "urn:uuid:33907679-21e9-4be1-afc1-10cbf6e1633c",
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        },
        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5811-5",
              "system": "http://loinc.org",
              "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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          "code": "1"
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              "unit": "Specific Gravity"
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            "high": {
              "value": 1.03,
              "code": "1",
              "system": "http://unitsofmeasure.org",
              "unit": "Specific Gravity"
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        ],
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                "code": "L",
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                "display": "Low"
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            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>13-Oct-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Specific gravity of Urine by Test strip</td><td>1.0</td><td>1.005 - 1.030</td><td>L</td><td>{nominal}</td></tr></table></div>"
        },
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:52df0384-6245-4121-bfc5-0cf6d4dbd54f",
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        "id": "52df0384-6245-4121-bfc5-0cf6d4dbd54f",
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        "category": [
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            ]
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5803-2",
              "system": "http://loinc.org",
              "display": "pH of Urine by Test strip"
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          ],
          "text": "pH of Urine by Test strip"
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        "valueQuantity": {
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          "value": 6,
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            "high": {
              "value": 8,
              "code": "pH",
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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>13-Oct-2022</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",
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          "display": "Tom Hayward"
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        "effectiveDateTime": "2022-10-13T06:17:44Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:a2de83f9-13e1-4426-ba12-18c3cdccb350",
      "resource": {
        "resourceType": "Observation",
        "id": "a2de83f9-13e1-4426-ba12-18c3cdccb350",
        "meta": {
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        },
        "category": [
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            "coding": [
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                "code": "laboratory",
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            ]
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        ],
        "performer": [
          {
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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": 307.9,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
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            },
            "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"
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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>13-Oct-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>307.9</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2022-10-13T06:17:44Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:69cf970d-10af-482d-ae07-fc23c1deed86",
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        "id": "69cf970d-10af-482d-ae07-fc23c1deed86",
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        "category": [
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        ],
        "performer": [
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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>13-Oct-2022</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>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:f789eecc-240a-49d0-b977-5d89a645cbad",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2022-10-13T06:17:44Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "167276005",
              "system": "http://snomed.info/sct",
              "display": "Urine protein test = ++"
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    {
      "fullUrl": "urn:uuid:e354983d-5746-4673-bbd2-65ae339157d8",
      "resource": {
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        "id": "e354983d-5746-4673-bbd2-65ae339157d8",
        "meta": {
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        },
        "category": [
          {
            "coding": [
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                "code": "laboratory",
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            ]
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        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
            }
          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>13-Oct-2022</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",
        "subject": {
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          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2022-10-13T06:17:44Z",
        "valueCodeableConcept": {
          "coding": [
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              "system": "http://snomed.info/sct",
              "display": "Urine nitrite negative"
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      }
    },
    {
      "fullUrl": "urn:uuid:58d900a0-1249-493f-b78d-6461b8a8a672",
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        "meta": {
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        },
        "category": [
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            "coding": [
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                "code": "laboratory",
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              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
            }
          ],
          "text": "Hemoglobin [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>13-Oct-2022</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",
        "subject": {
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          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2022-10-13T06:17:44Z",
        "valueCodeableConcept": {
          "coding": [
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              "display": "Urine blood test = negative"
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      }
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    {
      "fullUrl": "urn:uuid:4546b6d6-f9e2-406a-90de-4cfba398386f",
      "resource": {
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        "id": "4546b6d6-f9e2-406a-90de-4cfba398386f",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
          {
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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>13-Oct-2022</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",
        "subject": {
          "reference": "urn:uuid:f789eecc-240a-49d0-b977-5d89a645cbad",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2022-10-13T06:17:44Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "394717006",
              "system": "http://snomed.info/sct",
              "display": "Urine leukocyte test negative"
            }
          ]
        },
        "specimen": {
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        }
      }
    },
    {
      "fullUrl": "urn:uuid:9e7041f6-de39-480f-a6cd-bf2f433d7e91",
      "resource": {
        "resourceType": "Observation",
        "id": "9e7041f6-de39-480f-a6cd-bf2f433d7e91",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
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            "coding": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
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            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
            }
          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 3.3,
          "unit": "%",
          "code": "%"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.6,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "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>13-Oct-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>3.3</td><td>4.0 - 5.6</td><td>L</td><td>%</td></tr></table></div>"
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              "display": "Glucose [Mass/volume] in Blood"
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          "text": "Glucose [Mass/volume] in Blood"
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          "text": "Creatinine [Mass/volume] in Blood"
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              "display": "Calcium [Mass/volume] in Blood"
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              "display": "Sodium [Moles/volume] in Blood"
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              "display": "Potassium [Moles/volume] in Blood"
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          "value": 4.1,
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              "display": "Chloride [Moles/volume] in Blood"
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          ],
          "text": "Chloride [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 110.2,
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        "referenceRange": [
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            "high": {
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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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          "value": 26.1,
          "unit": "mmol/L",
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        "referenceRange": [
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            "high": {
              "value": 29,
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              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
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          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 205.5,
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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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              "display": "Microalbumin/Creatinine [Mass Ratio] in Urine"
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                "display": "High"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
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        "status": "active",
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        "manufacturer": "SYNDERAI Project"
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              "display": "create"
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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": {
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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": "2022-10-13T08:17:44Z"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: f9b48077-52df-4bcd-b268-263b04c461d3</div>"
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            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
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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": "2022-10-13T08:17:44Z"
}