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                    "reference": "urn:uuid:e15d8c4a-b29d-4d8c-8087-7c373847881f"
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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>09-NOV-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>74.2</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>15.1</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.3 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>9.4</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><strong>5.2 H</strong></td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>110.5 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>25.0</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test negative</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>74.2</td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>15.1</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>21.1 H</strong></td><td>0.6 - 1.2</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.4</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><strong>5.2 H</strong></td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>110.5 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>25.0</td><td>22 - 29</td><td>mmol/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td><strong>119.9 L</strong></td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>140.5</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>42.6</td><td>0 - 100</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>49.2</td><td>40 - 60</td><td>mg/dL</td></tr><tr><td>Microalbumin/Creatinine [Mass Ratio] in Urine</td><td><strong>436.6 H</strong></td><td>0 - 30</td><td>mg/g</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Urinalysis</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>09-NOV-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>2.0</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>16.1</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>6.3</td><td>5.0 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>389.8 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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                  "text": "Specimen information"
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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>09-NOV-2023</th><th>Specimen</th><th></th></tr></thead><tbody><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td>Urine</td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td>Urine</td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td>Urine</td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td>Urine</td><td></td></tr></tbody></table></div>"
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              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows markedly elevated creatinine and proteinuria, suggesting significant renal impairment, possibly nephrotic syndrome or acute/chronic kidney disease. Hyperkalemia and hyperchloremia further support renal dysfunction. Urine findings (cloudy, brown, low specific gravity, high protein, ketones, bilirubin) reinforce renal pathology. HbA1c is low, excluding diabetes as a cause. Recommend urgent nephrology evaluation for further assessment and management.</td></tr></table></div>"
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              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          "tag": [
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              "code": "synthetic",
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            "value": "8e2c4509-b594-9ec4-42db-847eccf28678"
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              "Tom"
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            "family": "Hayward",
            "text": "Tom Hayward"
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        ],
        "address": [
          {
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              "391 Dean locks"
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            "type": "physical",
            "postalCode": "M1",
            "city": "Manchester",
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          {
            "system": "phone",
            "value": "+44(0)808 1570544"
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            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        "birthDate": "1975-04-07"
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        "identifier": [
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        "specimen": [
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          {
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                "display": "Chronic kidney disease stage 3"
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          {
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          {
            "coding": [
              {
                "code": "414545008",
                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
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            ]
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          {
            "coding": [
              {
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                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
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            ]
          },
          {
            "coding": [
              {
                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
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          {
            "coding": [
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                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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          {
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                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
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          {
            "coding": [
              {
                "code": "1551000119108",
                "system": "http://snomed.info/sct",
                "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
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            ]
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          {
            "coding": [
              {
                "code": "422034002",
                "system": "http://snomed.info/sct",
                "display": "Retinopathy due to type 2 diabetes mellitus"
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            ]
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          {
            "coding": [
              {
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                "system": "http://snomed.info/sct",
                "display": "Anemia"
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            ]
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          {
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                "code": "80394007",
                "system": "http://snomed.info/sct",
                "display": "Hyperglycemia"
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            ]
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            "coding": [
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                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
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            ]
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          {
            "coding": [
              {
                "code": "302870006",
                "system": "http://snomed.info/sct",
                "display": "Hypertriglyceridemia"
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            ]
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          {
            "coding": [
              {
                "code": "44054006",
                "system": "http://snomed.info/sct",
                "display": "Type 2 diabetes mellitus"
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            ]
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          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
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        ],
        "text": {
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          "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"
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        "subject": {
          "reference": "urn:uuid:6aa4d7ea-3391-4e1b-8c9a-2b3583e5e97b",
          "display": "Tom Hayward"
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      "resource": {
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        "id": "fe95f9c6-f264-41c9-94b9-362cbb7e01cb",
        "meta": {
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            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
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        },
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: fe95f9c6-f264-41c9-94b9-362cbb7e01cb</div>"
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              "City Road 204"
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            "city": "Manchester",
            "postalCode": "M3 3",
            "country": "United Kingdom"
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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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    {
      "fullUrl": "urn:uuid:b88d7013-7d16-453e-be97-fa90cf807b32",
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              "display": "Acellular blood (serum or plasma) specimen"
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    {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
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        "text": {
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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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          ]
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    {
      "fullUrl": "urn:uuid:01e64404-7563-40f2-a94e-3c94dc4c1df2",
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              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
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          "text": "Glucose [Mass/volume] in Serum or Plasma"
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          "unit": "mg/dL",
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            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
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              "display": "Urea nitrogen [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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    {
      "fullUrl": "urn:uuid:5c7f8d6d-6d00-4f39-9549-237fa2a7dbb9",
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        "id": "5c7f8d6d-6d00-4f39-9549-237fa2a7dbb9",
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        "code": {
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              "code": "2160-0",
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              "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": 2.3,
          "unit": "mg/dL",
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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        "text": {
          "status": "generated",
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:44e45217-c77d-461d-9ffa-0e0da47ca323",
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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": 9.4,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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              "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>09-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.4</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6aa4d7ea-3391-4e1b-8c9a-2b3583e5e97b",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2023-11-09T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:b88d7013-7d16-453e-be97-fa90cf807b32"
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      }
    },
    {
      "fullUrl": "urn:uuid:7479a9d1-bd0e-435c-9379-dbbd37c896ea",
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        "category": [
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        "performer": [
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        "code": {
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              "code": "2028-9",
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              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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              "system": "http://unitsofmeasure.org"
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              "code": "34533-0",
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              "display": "Odor of Urine"
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          ],
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              "display": "Clarity of Urine"
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          "text": "Clarity of Urine"
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              "display": "Color of Urine"
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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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          "value": 2,
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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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              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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          "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>09-Nov-2023</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>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6aa4d7ea-3391-4e1b-8c9a-2b3583e5e97b",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2023-11-09T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:721e5d53-a3e2-41bb-80a3-868c54218a4a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:7ab9eba9-bc4a-4ad0-926a-61dabbccbe56",
      "resource": {
        "resourceType": "Observation",
        "id": "7ab9eba9-bc4a-4ad0-926a-61dabbccbe56",
        "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": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
            }
          ],
          "text": "Glucose [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 74.2,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 70,
              "code": "mg/dL",
              "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>09-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>74.2</td><td>70 - 100</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6aa4d7ea-3391-4e1b-8c9a-2b3583e5e97b",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2023-11-09T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:721e5d53-a3e2-41bb-80a3-868c54218a4a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:095697e7-9e6e-41f3-bcb5-b61df9367921",
      "resource": {
        "resourceType": "Observation",
        "id": "095697e7-9e6e-41f3-bcb5-b61df9367921",
        "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": "6299-2",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
            }
          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 15.1,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 7,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 20,
              "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>09-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>15.1</td><td>7 - 20</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6aa4d7ea-3391-4e1b-8c9a-2b3583e5e97b",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2023-11-09T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:721e5d53-a3e2-41bb-80a3-868c54218a4a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:38c4310f-2f54-4e4f-a924-e84c827810c4",
      "resource": {
        "resourceType": "Observation",
        "id": "38c4310f-2f54-4e4f-a924-e84c827810c4",
        "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": "38483-4",
              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Blood"
            }
          ],
          "text": "Creatinine [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 21.1,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.6,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 1.2,
              "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>09-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>21.1</td><td>0.6 - 1.2</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6aa4d7ea-3391-4e1b-8c9a-2b3583e5e97b",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2023-11-09T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:721e5d53-a3e2-41bb-80a3-868c54218a4a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5cd6c677-ee68-4a65-b589-62b9f603716d",
      "resource": {
        "resourceType": "Observation",
        "id": "5cd6c677-ee68-4a65-b589-62b9f603716d",
        "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": "49765-1",
              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Blood"
            }
          ],
          "text": "Calcium [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 9.4,
          "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>09-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.4</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6aa4d7ea-3391-4e1b-8c9a-2b3583e5e97b",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2023-11-09T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:721e5d53-a3e2-41bb-80a3-868c54218a4a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b0e21972-12d9-4328-89d9-21e30983a926",
      "resource": {
        "resourceType": "Observation",
        "id": "b0e21972-12d9-4328-89d9-21e30983a926",
        "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": "2947-0",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Blood"
            }
          ],
          "text": "Sodium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 140.1,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 135,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 145,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Nov-2023</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>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6aa4d7ea-3391-4e1b-8c9a-2b3583e5e97b",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2023-11-09T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:721e5d53-a3e2-41bb-80a3-868c54218a4a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a69886b2-3073-4309-96a2-f4fa2e3f3612",
      "resource": {
        "resourceType": "Observation",
        "id": "a69886b2-3073-4309-96a2-f4fa2e3f3612",
        "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": "6298-4",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
            }
          ],
          "text": "Potassium [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 5.2,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 3.5,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.1,
              "code": "mmol/L",
              "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>09-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.2</td><td>3.5 - 5.1</td><td>H</td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6aa4d7ea-3391-4e1b-8c9a-2b3583e5e97b",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2023-11-09T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:721e5d53-a3e2-41bb-80a3-868c54218a4a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:9c0d5513-350d-4a96-bdd5-0ea5118caeb4",
      "resource": {
        "resourceType": "Observation",
        "id": "9c0d5513-350d-4a96-bdd5-0ea5118caeb4",
        "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": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
            }
          ],
          "text": "Chloride [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 110.5,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 98,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 107,
              "code": "mmol/L",
              "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>09-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>110.5</td><td>98 - 107</td><td>H</td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6aa4d7ea-3391-4e1b-8c9a-2b3583e5e97b",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2023-11-09T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:721e5d53-a3e2-41bb-80a3-868c54218a4a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:6c89c1ca-6c89-4f18-b1c3-7e115927d8f5",
      "resource": {
        "resourceType": "Observation",
        "id": "6c89c1ca-6c89-4f18-b1c3-7e115927d8f5",
        "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": "20565-8",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Blood"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 25,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 29,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>09-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>25.0</td><td>22 - 29</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6aa4d7ea-3391-4e1b-8c9a-2b3583e5e97b",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2023-11-09T06:17:44Z",
        "specimen": {
          "reference": "urn:uuid:721e5d53-a3e2-41bb-80a3-868c54218a4a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:791ce60c-9e1d-44c7-a50d-f044454bf038",
      "resource": {
        "resourceType": "Observation",
        "id": "791ce60c-9e1d-44c7-a50d-f044454bf038",
        "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": "2093-3",
              "system": "http://loinc.org",
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 119.9,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 125,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 200,
              "code": "mg/dL",
              "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>09-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>119.9</td><td>125 - 200</td><td>L</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:6aa4d7ea-3391-4e1b-8c9a-2b3583e5e97b",
          "display": "Tom Hayward"
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        "practitioner": {
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            "postalCode": "1000",
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            "country": "Belgium"
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  "timestamp": "2023-11-09T07:17:44Z"
}