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                    "reference": "urn:uuid:d2633a4c-b3c9-4c69-9ecb-13c8f577b51f"
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                  {
                    "reference": "urn:uuid:a842cf4e-1191-4623-b6f6-2e8ce21fdb5d"
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                  {
                    "reference": "urn:uuid:ff8fff6d-e860-48e1-bed7-55c7c2de89a6"
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                  {
                    "reference": "urn:uuid:1d3c0b9e-f655-4f3a-8322-eddd83620ca9"
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                "text": {
                  "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>06-JUL-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>65.1</td><td>65 - 99</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>15.7</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.6 H</strong></td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.6</td><td>8.6 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>140.4</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>109.1</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>22.9</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = trace</td><td></td><td></td></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>4.0</td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>65.1 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>15.7</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>0.9</td><td>0.5 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.6</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>140.4</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>109.1 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>22.9</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
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                      "code": "18729-4",
                      "system": "http://loinc.org",
                      "display": "Urinalysis studies (set)"
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                  "text": "Urinalysis"
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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-JUL-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>1.9 H</strong></td><td>0 - 0</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>Urine glucose test = ++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>1.3</td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td><strong>7.1 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>5.7</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>117.3 H</strong></td><td>0 - 20</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = +</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr></tbody></table></div>"
                },
                "title": "Urinalysis"
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                  "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>06-JUL-2025</th><th>Specimen</th><th></th></tr></thead><tbody><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td>Urine</td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td>Urine</td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td>Urine</td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td>Urine</td><td></td></tr></tbody></table></div>"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows mild hypercreatininemia, proteinuria, glycosuria, ketonuria, and low urine specific gravity, with cloudy, brown, ammoniacal urine but no leukocytes or nitrites. Blood glucose and HbA1c are low-normal, suggesting no chronic hyperglycemia. Findings may indicate possible renal dysfunction (tubular/glomerular), and the urine abnormalities could suggest acute kidney injury or nephrotic syndrome. Recommend further renal evaluation and correlation with clinical findings.</td></tr></table></div>"
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        "date": "2025-07-06T06:04:55Z",
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        "address": [
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            "use": "home",
            "type": "physical",
            "postalCode": "85354",
            "city": "Freising",
            "country": "Germany"
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        ],
        "telecom": [
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            "system": "phone",
            "value": "+49(0)0013 16572"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "DE",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Lara Baum</td><td>female</td><td>10-Dec-1969</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1969-12-10"
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    },
    {
      "fullUrl": "urn:uuid:8a994707-1d73-45bb-865e-9d230b6ab2e4",
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        "resourceType": "ServiceRequest",
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          "profile": [
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        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "5462aab3-46a2-4da7-9c4f-e56b594cb2e3"
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        ],
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            "reference": "urn:uuid:0f8f08c4-6df3-4f5d-975a-3164485a914f"
          },
          {
            "reference": "urn:uuid:df2ae295-3776-4442-9440-9e36437945da"
          },
          {
            "reference": "urn:uuid:c0a34c1c-8639-4bce-9c14-78b272b41bcb"
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "239873007",
                "system": "http://snomed.info/sct",
                "display": "Osteoarthritis of knee"
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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": [
              {
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                "system": "http://snomed.info/sct",
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              }
            ]
          },
          {
            "coding": [
              {
                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
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            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
          }
        ],
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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:3a0c94f1-f1fc-439e-acf0-452ff107f98f",
          "display": "Lara Baum"
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    {
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            "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: 2aef67ba-f2ef-4312-99ab-b116d31686f9</div>"
        },
        "organization": {
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          {
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          {
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              "Alois-Steinecker-Straße 16"
            ],
            "city": "Freising",
            "postalCode": "85354",
            "country": "Germany"
          }
        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: KfH-Nierenzentrum am Klinikum Freising</div>"
        },
        "name": "KfH-Nierenzentrum am Klinikum Freising"
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    },
    {
      "fullUrl": "urn:uuid:0f8f08c4-6df3-4f5d-975a-3164485a914f",
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        "id": "0f8f08c4-6df3-4f5d-975a-3164485a914f",
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
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        "text": {
          "status": "generated",
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        },
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            {
              "code": "122592007",
              "system": "http://snomed.info/sct",
              "display": "Acellular blood (serum or plasma) specimen"
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      }
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    {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
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        },
        "text": {
          "status": "generated",
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        },
        "type": {
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            {
              "code": "122575003",
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    {
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        },
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        },
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          "status": "generated",
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        },
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            {
              "code": "258580003",
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              "display": "Whole blood specimen (specimen)"
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          ]
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    {
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              "code": "2345-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
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            "high": {
              "value": 99,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
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              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
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        },
        "status": "final",
        "subject": {
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        "specimen": {
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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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          "value": 1.6,
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              "code": "mg/dL",
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                "display": "High"
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            ]
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        },
        "status": "final",
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        "specimen": {
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      }
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              "system": "http://loinc.org",
              "display": "Calcium [Mass/volume] in Serum or Plasma"
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          "text": "Calcium [Mass/volume] in Serum or Plasma"
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          "unit": "mg/dL",
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              "system": "http://unitsofmeasure.org"
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        ],
        "text": {
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        },
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          "display": "Lara Baum"
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        "effectiveDateTime": "2025-07-06T04:04:55Z",
        "specimen": {
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              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 140.4,
          "unit": "mmol/L",
          "code": "mmol/L"
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              "value": 145,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "text": {
          "status": "generated",
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        },
        "status": "final",
        "subject": {
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:19a2a978-f4f4-4a6e-9c9f-16ffd7a1b482",
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        "performer": [
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        "code": {
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              "code": "2823-3",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "code": "mmol/L"
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            "high": {
              "value": 5.1,
              "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>06-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.0</td><td>3.5 - 5.1</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Lara Baum"
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              "display": "Ketones [Presence] in Urine by Test strip"
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          "text": "Ketones [Presence] in Urine by Test strip"
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              "display": "Protein [Mass/volume] in Urine by Test strip"
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          "text": "Protein [Mass/volume] in Urine by Test strip"
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          "value": 117.3,
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              "display": "Nitrite [Presence] in Urine by Test strip"
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          "text": "Nitrite [Presence] in Urine by Test strip"
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              "display": "Hemoglobin [Presence] in Urine by Test strip"
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          "text": "Hemoglobin [Presence] in Urine by Test strip"
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              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
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          ],
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}