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                    "reference": "urn:uuid:f209f042-f32d-43ee-8aff-3cad158442e4"
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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>06-APR-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>95.5</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>8.4</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>9.9</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>140.7</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>109.5 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>23.9</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>3.1 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>95.5</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>8.4</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>0.7 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.9</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>140.7</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>109.5 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>23.9</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
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                "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>06-APR-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><strong>1.4 H</strong></td><td>0 - 0.8</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>0.3</td><td>0.0 - 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>13.1 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>6.5</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>335.1 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>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 elevated creatinine, suggesting impaired renal function, and high chloride. Urinalysis reveals significant proteinuria, glucosuria, ketonuria, low specific gravity, and abnormal urine appearance (cloudy, brown, ammoniacal), but no evidence of infection. Low HbA1c with normal glucose may indicate recent hypoglycemia or anemia. Findings are consistent with possible acute or chronic kidney disease with tubular dysfunction and possible metabolic derangement; clinical correlation and further nephrological evaluation are recommended.</td></tr></table></div>"
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                }
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            ],
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              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
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      }
    },
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        ],
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              "display": "Chloride [Moles/volume] in Serum or Plasma"
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          ],
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              "code": "2028-9",
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              "code": "5767-9",
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              "display": "Appearance of Urine"
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          ],
          "text": "Appearance of Urine"
        },
        "text": {
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        },
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              "code": "34533-0",
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          ],
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              "code": "32167-9",
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              "display": "Clarity of Urine"
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          ],
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              "display": "Glucose [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Glucose [Mass/volume] in Urine by Test strip"
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          "value": 1.4,
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              "code": "5797-6",
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              "display": "Ketones [Mass/volume] in Urine by Test strip"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 4,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
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            "coding": [
              {
                "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>06-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>13.1</td><td>0 - 4</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2025-04-06T05:32:03Z",
        "specimen": {
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        "id": "fc517750-9732-4fbe-9aea-f44796c672a2",
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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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>06-Apr-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>"
        },
        "status": "final",
        "subject": {
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        "effectiveDateTime": "2025-04-06T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "167289004",
              "system": "http://snomed.info/sct",
              "display": "Urine ketone test = +"
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        },
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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"
        },
        "valueQuantity": {
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          "value": 1,
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          "code": "1"
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        "referenceRange": [
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              "code": "1",
              "system": "http://unitsofmeasure.org",
              "unit": "Specific Gravity"
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            "high": {
              "value": 1.03,
              "code": "1",
              "system": "http://unitsofmeasure.org",
              "unit": "Specific Gravity"
            }
          }
        ],
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          {
            "coding": [
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                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>06-Apr-2025</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>"
        },
        "status": "final",
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        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:617c14eb-84b1-4614-b34c-37e017ec2a30",
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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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              }
            ]
          }
        ],
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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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 6.5,
          "unit": "pH",
          "code": "pH"
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        "referenceRange": [
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            "low": {
              "value": 4.5,
              "code": "pH",
              "system": "http://unitsofmeasure.org"
            },
            "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>06-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>6.5</td><td>4.5 - 8.0</td><td></td><td>pH</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:569d15a3-813e-4371-adf8-dbba8695331f",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2025-04-06T05:32:03Z",
        "specimen": {
          "reference": "urn:uuid:3e3278ad-b3a4-4a52-b6d0-0cad2415e232"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8f1e0b52-54a8-4c56-b400-a0fc5b4e3524",
      "resource": {
        "resourceType": "Observation",
        "id": "8f1e0b52-54a8-4c56-b400-a0fc5b4e3524",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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": 335.1,
          "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"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "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>06-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>335.1</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:569d15a3-813e-4371-adf8-dbba8695331f",
          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-04-06T05:32:03Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:16c77e54-21b5-49a8-b9a0-27c92e1a9210",
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        "resourceType": "Observation",
        "id": "16c77e54-21b5-49a8-b9a0-27c92e1a9210",
        "meta": {
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        },
        "category": [
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            ]
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        ],
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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>06-Apr-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>"
        },
        "status": "final",
        "subject": {
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-04-06T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "system": "http://snomed.info/sct",
              "display": "Urine protein test = ++"
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        "category": [
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                "code": "laboratory",
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        ],
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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>06-Apr-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",
        "subject": {
          "reference": "urn:uuid:569d15a3-813e-4371-adf8-dbba8695331f",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2025-04-06T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "314138001",
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              "display": "Urine nitrite negative"
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    },
    {
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        "category": [
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            ]
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        ],
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        ],
        "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>06-Apr-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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        "effectiveDateTime": "2025-04-06T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "display": "Urine blood test = negative"
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    {
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        "category": [
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            ]
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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>06-Apr-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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          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-04-06T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "display": "Urine leukocyte test negative"
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      }
    },
    {
      "fullUrl": "urn:uuid:210c0408-e474-40a0-a488-577db4e83820",
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            ]
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        ],
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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": {
          "system": "http://unitsofmeasure.org",
          "value": 3.1,
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            "high": {
              "value": 5.6,
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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>06-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>3.1</td><td>4.0 - 5.6</td><td>L</td><td>%</td></tr></table></div>"
        },
        "status": "final",
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2025-04-06T05:32:03Z",
        "specimen": {
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    },
    {
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        "category": [
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            ]
          }
        ],
        "performer": [
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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": 95.5,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
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              "system": "http://unitsofmeasure.org"
            },
            "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>06-Apr-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>95.5</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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}
