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                  {
                    "reference": "urn:uuid:1b92895a-e6e8-4920-948f-f0dd7c8a0306"
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                  {
                    "reference": "urn:uuid:3b88b588-c9dc-48ea-8e90-419ba8603cbf"
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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>12-AUG-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td><strong>66.6 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>7.5</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>0.6 - 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>144.0</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>105.7</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>23.7</td><td>22 - 29</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><strong>3.3 L</strong></td><td>4.0 - 5.6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>66.6 L</strong></td><td>70 - 100</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>7.5</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>1.3</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>144.0</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>105.7</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>23.7</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
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                      "system": "http://loinc.org",
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                  "text": "Urinalysis"
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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>12-AUG-2018</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>2.1 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>0.4</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>6.2 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>5.3</td><td>4.5 - 8.0</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>59.5 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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                  "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>12-AUG-2018</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 mild hypoglycemia and low HbA1c, suggesting possible chronic low glucose or recent dietary changes. Elevated creatinine may indicate reduced renal function. Urinalysis reveals glucosuria, proteinuria, ketonuria, low specific gravity, and abnormal urine appearance (cloudy, brown, ammoniacal), raising concern for renal impairment and possible metabolic disturbance. Recommend clinical correlation for diabetes, renal function, and possible urinary tract pathology.</td></tr></table></div>"
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        "subject": {
          "reference": "urn:uuid:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
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        "date": "2018-08-12T07:32:03Z",
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            "city": "Cannes",
            "country": "France"
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        ],
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                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
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        "gender": "male",
        "birthDate": "1948-05-16"
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      "fullUrl": "urn:uuid:c329047b-74c2-495e-8677-3644f9a36ce7",
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        "resourceType": "ServiceRequest",
        "id": "c329047b-74c2-495e-8677-3644f9a36ce7",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"
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        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "a20fcb6b-b7da-4c92-b185-ac6c75296ba8"
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        "specimen": [
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            "reference": "urn:uuid:a9facde8-74da-4429-a906-ff45e5bf76e5"
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          {
            "reference": "urn:uuid:f90d2d44-c996-46a3-8800-445bb1c1c4df"
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          {
            "reference": "urn:uuid:3c13fad8-613d-4314-92b4-25908a7e709e"
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            "coding": [
              {
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            ]
          },
          {
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                "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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            ]
          },
          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
              }
            ]
          },
          {
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              {
                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
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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": "Osteoporosis"
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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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              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
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            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
          },
          {
            "coding": [
              {
                "code": "90560007",
                "system": "http://snomed.info/sct",
                "display": "Gout"
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            ]
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        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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        "subject": {
          "reference": "urn:uuid:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
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      "fullUrl": "urn:uuid:176674a3-4b2f-4fd4-96ef-bec41334a6e9",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "176674a3-4b2f-4fd4-96ef-bec41334a6e9",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 176674a3-4b2f-4fd4-96ef-bec41334a6e9</div>"
        },
        "organization": {
          "reference": "urn:uuid:1289bd23-fdd1-4972-9cd5-eeaefb9d131a"
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    {
      "fullUrl": "urn:uuid:1289bd23-fdd1-4972-9cd5-eeaefb9d131a",
      "resource": {
        "resourceType": "Organization",
        "id": "1289bd23-fdd1-4972-9cd5-eeaefb9d131a",
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          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "7e049243-0ad6-4478-ac76-02395367d9e6"
          }
        ],
        "address": [
          {
            "city": "Cannes",
            "postalCode": "06150",
            "country": "France"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Clinique du Méridien</div>"
        },
        "name": "Clinique du Méridien"
      }
    },
    {
      "fullUrl": "urn:uuid:a9facde8-74da-4429-a906-ff45e5bf76e5",
      "resource": {
        "resourceType": "Specimen",
        "id": "a9facde8-74da-4429-a906-ff45e5bf76e5",
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          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
          "collectedDateTime": "2018-08-12"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Acellular blood (serum or plasma) specimen</td><td><span class=\"nb\">12-Aug-2018</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122592007",
              "system": "http://snomed.info/sct",
              "display": "Acellular blood (serum or plasma) specimen"
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          ]
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      }
    },
    {
      "fullUrl": "urn:uuid:f90d2d44-c996-46a3-8800-445bb1c1c4df",
      "resource": {
        "resourceType": "Specimen",
        "id": "f90d2d44-c996-46a3-8800-445bb1c1c4df",
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Urine specimen</td><td><span class=\"nb\">12-Aug-2018</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122575003",
              "system": "http://snomed.info/sct",
              "display": "Urine specimen"
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    {
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        "resourceType": "Specimen",
        "id": "3c13fad8-613d-4314-92b4-25908a7e709e",
        "meta": {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Specimen</th><th>Collection Date</th></tr><tr><td>Whole blood specimen (specimen)</td><td><span class=\"nb\">12-Aug-2018</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
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          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ff939898-7f96-4d18-9f0f-84b70ebc0007",
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        "id": "ff939898-7f96-4d18-9f0f-84b70ebc0007",
        "meta": {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        "category": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            "display": "The Central European Lab"
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            {
              "code": "2345-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Glucose [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 66.6,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "value": 70,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
        ],
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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>12-Aug-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>66.6</td><td>70 - 100</td><td>L</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
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        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "specimen": {
          "reference": "urn:uuid:a9facde8-74da-4429-a906-ff45e5bf76e5"
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      "fullUrl": "urn:uuid:9d02458d-ab1e-4cae-b32e-83858141b73e",
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        "id": "9d02458d-ab1e-4cae-b32e-83858141b73e",
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        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
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        ],
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        "code": {
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              "code": "3094-0",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Serum or Plasma"
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          "unit": "mg/dL",
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 20,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>12-Aug-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>7.5</td><td>7 - 20</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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        "subject": {
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          "display": "Yves Rémy"
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        "specimen": {
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    {
      "fullUrl": "urn:uuid:8c66fb45-28e8-473a-a95d-93f1fc23bfdd",
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        },
        "category": [
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            ]
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        ],
        "code": {
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            {
              "code": "2160-0",
              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Creatinine [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1.6,
          "unit": "mg/dL",
          "code": "mg/dL"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          }
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                "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>12-Aug-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td>1.6</td><td>0.6 - 1.3</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
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        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:b71f032a-b02c-4c49-b228-bda9ddf192f8",
      "resource": {
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        "id": "b71f032a-b02c-4c49-b228-bda9ddf192f8",
        "meta": {
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        },
        "category": [
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                "code": "laboratory",
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            "display": "The Central European Lab"
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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": 9.9,
          "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>12-Aug-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.9</td><td>8.5 - 10.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "specimen": {
          "reference": "urn:uuid:a9facde8-74da-4429-a906-ff45e5bf76e5"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8b4ad00f-a0c3-47d1-800a-62378970a956",
      "resource": {
        "resourceType": "Observation",
        "id": "8b4ad00f-a0c3-47d1-800a-62378970a956",
        "meta": {
          "profile": [
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        },
        "category": [
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            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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        ],
        "performer": [
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            "display": "The Central European Lab"
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        "code": {
          "coding": [
            {
              "code": "2951-2",
              "system": "http://loinc.org",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
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          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 144,
          "unit": "mmol/L",
          "code": "mmol/L"
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        "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>12-Aug-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>144.0</td><td>135 - 145</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "specimen": {
          "reference": "urn:uuid:a9facde8-74da-4429-a906-ff45e5bf76e5"
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      }
    },
    {
      "fullUrl": "urn:uuid:7f24598a-c59f-4487-9ee2-86316dd689b1",
      "resource": {
        "resourceType": "Observation",
        "id": "7f24598a-c59f-4487-9ee2-86316dd689b1",
        "meta": {
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        "category": [
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            "coding": [
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                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "2823-3",
              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4.9,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
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            "low": {
              "value": 3.5,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.1,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 4,
              "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>12-Aug-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>6.2</td><td>0 - 4</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Yves Rémy"
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        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "specimen": {
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        }
      }
    },
    {
      "fullUrl": "urn:uuid:910389d0-c721-41ce-a6f1-5394551f2da8",
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        "id": "910389d0-c721-41ce-a6f1-5394551f2da8",
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        },
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                "code": "laboratory",
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            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "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>12-Aug-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = trace</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "167288007",
              "system": "http://snomed.info/sct",
              "display": "Urine ketone test = trace"
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          ]
        },
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        }
      }
    },
    {
      "fullUrl": "urn:uuid:56fbe560-ff9a-4cdb-96fe-c3ecb1091089",
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        "category": [
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                "code": "laboratory",
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            ]
          }
        ],
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          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "5811-5",
              "system": "http://loinc.org",
              "display": "Specific gravity of Urine by Test strip"
            }
          ],
          "text": "Specific gravity of Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1,
          "unit": "{nominal}",
          "code": "1"
        },
        "referenceRange": [
          {
            "low": {
              "value": 1.005,
              "code": "1",
              "system": "http://unitsofmeasure.org",
              "unit": "Specific Gravity"
            },
            "high": {
              "value": 1.03,
              "code": "1",
              "system": "http://unitsofmeasure.org",
              "unit": "Specific Gravity"
            }
          }
        ],
        "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>12-Aug-2018</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",
        "subject": {
          "reference": "urn:uuid:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
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        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "specimen": {
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        }
      }
    },
    {
      "fullUrl": "urn:uuid:43593f29-8b06-4036-aad6-f177646f4700",
      "resource": {
        "resourceType": "Observation",
        "id": "43593f29-8b06-4036-aad6-f177646f4700",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "category": [
          {
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              {
                "code": "laboratory",
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              }
            ]
          }
        ],
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          {
            "display": "The Central European Lab"
          }
        ],
        "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": 5.3,
          "unit": "pH",
          "code": "pH"
        },
        "referenceRange": [
          {
            "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>12-Aug-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>5.3</td><td>4.5 - 8.0</td><td></td><td>pH</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "specimen": {
          "reference": "urn:uuid:f90d2d44-c996-46a3-8800-445bb1c1c4df"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:07f44021-a4ca-42c8-93ea-69146e63ed10",
      "resource": {
        "resourceType": "Observation",
        "id": "07f44021-a4ca-42c8-93ea-69146e63ed10",
        "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": 59.5,
          "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>12-Aug-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>59.5</td><td>0 - 20</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "specimen": {
          "reference": "urn:uuid:f90d2d44-c996-46a3-8800-445bb1c1c4df"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2a6ac8f4-188e-4ca0-afbe-90765875eac4",
      "resource": {
        "resourceType": "Observation",
        "id": "2a6ac8f4-188e-4ca0-afbe-90765875eac4",
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        },
        "category": [
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                "code": "laboratory",
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              }
            ]
          }
        ],
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          {
            "display": "The Central European Lab"
          }
        ],
        "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>12-Aug-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = +</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "167275009",
              "system": "http://snomed.info/sct",
              "display": "Urine protein test = +"
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          ]
        },
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:70f32d14-c87a-41f3-8f8f-c7dcf4615af5",
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        "resourceType": "Observation",
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        "meta": {
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        },
        "category": [
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            ]
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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>12-Aug-2018</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:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
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              "code": "314138001",
              "system": "http://snomed.info/sct",
              "display": "Urine nitrite negative"
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          ]
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      }
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    {
      "fullUrl": "urn:uuid:44b620e9-58df-4dde-931d-03117efd3cca",
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        },
        "category": [
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              }
            ]
          }
        ],
        "performer": [
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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>12-Aug-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "valueCodeableConcept": {
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              "code": "167297006",
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              "display": "Urine blood test = negative"
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          ]
        },
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      }
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    {
      "fullUrl": "urn:uuid:0fc99346-a87a-4731-a02f-e7cfedd8090d",
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        },
        "category": [
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            ]
          }
        ],
        "performer": [
          {
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        ],
        "code": {
          "coding": [
            {
              "code": "5799-2",
              "system": "http://loinc.org",
              "display": "Leukocyte esterase [Presence] in Urine by Test strip"
            }
          ],
          "text": "Leukocyte esterase [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>12-Aug-2018</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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          "reference": "urn:uuid:540e0471-d1ab-4309-9dff-073eb171c6fd",
          "display": "Yves Rémy"
        },
        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "valueCodeableConcept": {
          "coding": [
            {
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              "display": "Urine leukocyte test negative"
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          ]
        },
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:0d3276f2-1c60-4c5d-9e43-bb04c22266c0",
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        "resourceType": "Observation",
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        "meta": {
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        },
        "category": [
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            ]
          }
        ],
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "code": {
          "coding": [
            {
              "code": "4548-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin A1c/Hemoglobin.total in Blood"
            }
          ],
          "text": "Hemoglobin A1c/Hemoglobin.total in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 3.3,
          "unit": "%",
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              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 5.6,
              "code": "%",
              "system": "http://unitsofmeasure.org"
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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>12-Aug-2018</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": {
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        "effectiveDateTime": "2018-08-12T05:32:03Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:c44ddad6-3ec3-4c99-b891-4c1cc213a1a3",
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        "id": "c44ddad6-3ec3-4c99-b891-4c1cc213a1a3",
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        },
        "category": [
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                "code": "laboratory",
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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": {
          "system": "http://unitsofmeasure.org",
          "value": 66.6,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
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              "value": 70,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
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            "coding": [
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                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
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              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
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  "type": "document",
  "timestamp": "2018-08-12T07:32:03Z"
}