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                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>21-JUL-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>14.5</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 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>8.8</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>140.1</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>109.7 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>25.8</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>14.5</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>4.1 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.8</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>140.1</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><strong>109.7 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>25.8</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>120.8 L</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>129.2</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>36.8</td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>58.2</td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td><strong>173.4 H</strong></td><td>0 - 30</td><td>mg/g</td></tr></tbody></table></div>"
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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>21-JUL-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>1.4</td><td>0 - 5</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td><strong>1.1 H</strong></td><td>0 - 1</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>19.7</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>5.5</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>327.9 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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                  "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>21-JUL-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, proteinuria, microalbuminuria, and low urine specific gravity, indicating significant renal impairment. Urine findings (cloudy, brown, ammoniacal odor) and elevated urinary bilirubin further support renal dysfunction. Blood glucose and HbA1c are low, excluding diabetes as a cause. Electrolyte disturbances (high chloride) are present. Recommend urgent nephrology evaluation for possible acute or chronic kidney disease.</td></tr></table></div>"
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        ],
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          {
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        ],
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          {
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            "postalCode": "M1",
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            ],
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        "code": {
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              "display": "Calcium [Mass/volume] in Serum or Plasma"
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        "status": "final",
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          "display": "Tom Hayward"
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        "specimen": {
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    {
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        "code": {
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              "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": 140.1,
          "unit": "mmol/L",
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              "code": "2823-3",
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              "display": "Chloride [Moles/volume] in Serum or Plasma"
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          ],
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              "code": "5767-9",
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              "display": "Appearance of Urine"
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          ],
          "text": "Appearance of Urine"
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        "code": {
          "coding": [
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              "code": "34533-0",
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              "display": "Odor of Urine"
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          ],
          "text": "Odor of Urine"
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        "valueCodeableConcept": {
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              "code": "32167-9",
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              "display": "Clarity of Urine"
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          ],
          "text": "Clarity of Urine"
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        },
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        "valueCodeableConcept": {
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              "display": "Color of Urine"
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          ],
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        },
        "status": "final",
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        "valueCodeableConcept": {
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        "code": {
          "coding": [
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              "code": "5792-7",
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              "display": "Glucose [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Glucose [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 1.4,
          "unit": "mg/dL",
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              "code": "25428-4",
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              "display": "Glucose [Presence] in Urine by Test strip"
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          ],
          "text": "Glucose [Presence] in Urine by Test strip"
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          ],
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        "valueQuantity": {
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            ]
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        ],
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            ]
          }
        ],
        "text": {
          "status": "generated",
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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": {
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          "value": 73.5,
          "unit": "mg/dL",
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            "high": {
              "value": 100,
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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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          "value": 14.5,
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            "high": {
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        "code": {
          "coding": [
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              "code": "38483-4",
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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": 4.1,
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        "code": {
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            {
              "code": "49765-1",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Blood"
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          ],
          "text": "Calcium [Mass/volume] in Blood"
        },
        "valueQuantity": {
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          "value": 8.8,
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        "referenceRange": [
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            "high": {
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        "text": {
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        "code": {
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              "code": "2947-0",
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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": 140.1,
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            "high": {
              "value": 145,
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              "system": "http://unitsofmeasure.org"
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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>21-Jul-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>140.1</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
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        "status": "final",
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        "category": [
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        "code": {
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            {
              "code": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
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          ],
          "text": "Potassium [Moles/volume] in Blood"
        },
        "valueQuantity": {
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          "value": 4.9,
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            "high": {
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              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
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        "category": [
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        ],
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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": {
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          "value": 109.7,
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        "referenceRange": [
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            "high": {
              "value": 107,
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            ]
          }
        ],
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        "code": {
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              "code": "20565-8",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 25.8,
          "unit": "mmol/L",
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        "referenceRange": [
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            },
            "high": {
              "value": 29,
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              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
          "status": "generated",
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        "code": {
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              "code": "2093-3",
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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": 120.8,
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            "high": {
              "value": 200,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
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            ]
          }
        ],
        "text": {
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        "status": "final",
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "2571-8",
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              "display": "Triglyceride [Mass/volume] in Serum or Plasma"
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            "postalCode": "1000",
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            "country": "Belgium"
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  "timestamp": "2022-07-21T08:17:44Z"
}