{
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        "resourceType": "Composition",
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                "code": {
                  "coding": [
                    {
                      "code": "$18723-7",
                      "system": "http://loinc.org",
                      "display": "Hematology studies (set)"
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                  ],
                  "text": "Hematology"
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                    "reference": "urn:uuid:32966cfb-e0ca-403e-8cbb-47cda1174692"
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                  {
                    "reference": "urn:uuid:14dc2a4f-0f85-4e7f-94e6-ef5eb365f2f4"
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                    "reference": "urn:uuid:600a72a6-0e9d-4a4d-8329-f73e5de4132d"
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                  {
                    "reference": "urn:uuid:f73e0235-34a8-409e-b857-b1866bf6102c"
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                    "reference": "urn:uuid:91ce23bb-67f1-4989-857b-13b5f14a6689"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Hematology</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>25-FEB-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>7.0</td><td>3.4 - 10.5</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>4.9</td><td>4.2 - 5.2</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>13.7</td><td>12 - 16</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>48.1</td><td>38 - 54</td><td>%</td></tr><tr><td>MCV [Entitic volume] by Automated count</td><td>82.5</td><td>82 - 98</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>28.2</td><td>27 - 33</td><td>pg</td></tr><tr><td>MCHC [Mass/volume] by Automated count</td><td><strong>35.9 H</strong></td><td>32 - 35.5</td><td>g/dL</td></tr><tr><td>Erythrocyte distribution width [Entitic volume] by Automated count</td><td>44.2</td><td>36 - 56</td><td>fL</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td>379.8</td><td>150 - 450</td><td>10*3/uL</td></tr><tr><td>Platelet distribution width [Entitic volume] in Blood by Automated count</td><td>268.5</td><td>150 - 450</td><td>fL</td></tr><tr><td>Platelet mean volume [Entitic volume] in Blood by Automated count</td><td>11.5</td><td>7.4 - 13.8</td><td>fL</td></tr></tbody></table></div>"
                },
                "title": "Hematology"
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                  "coding": [
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                      "code": "$18719-5",
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                      "display": "Chemistry studies (set)"
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                    "reference": "urn:uuid:747b422d-1263-471f-9e8c-8ef69ec000b9"
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                    "reference": "urn:uuid:e58aa216-cc3c-47a5-8139-023a09df55e7"
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                  {
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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>25-FEB-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>6.0</td><td>4 - 6</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>66.0 L</strong></td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>12.3</td><td>7 - 45</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td>0.8</td><td>0.6 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>10.1</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>136.5</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.7</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>110.2 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>24.4</td><td>22 - 32</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              }
            ],
            "title": "Laboratory Report"
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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>Most parameters are within normal limits. Notable findings include mildly elevated HbA1c (6.0%, at upper limit), suggesting possible impaired glucose tolerance or early diabetes, and low fasting glucose (66 mg/dL), which may indicate hypoglycemia-clinical correlation is advised. Chloride and MCHC are slightly elevated but likely not clinically significant in isolation. Renal function, electrolytes, and blood counts are otherwise unremarkable. Recommend clinical follow-up for glucose metabolism assessment.</td></tr></table></div>"
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:176e40ee-79dd-415b-8b4d-bb5428284336",
          "display": "Lydia Ward"
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        "date": "2023-02-25T00:08:09Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
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        "subject": {
          "reference": "urn:uuid:176e40ee-79dd-415b-8b4d-bb5428284336",
          "display": "Lydia Ward"
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        "resourceType": "Patient",
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            "system": "http://local.setting.eu/identifier",
            "value": "9edf6b8d-b276-7218-98c6-ccf8d15f2a01"
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        ],
        "name": [
          {
            "family": "Ward"
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          {
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          {
            "text": "Lydia Ward"
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        ],
        "address": [
          {
            "line": [
              "6 Hunt radial"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "EH33",
            "city": "South Rosieside",
            "country": "United Kingdom"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "01144960349"
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        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality",
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "GB",
                  "system": "http://hl7.org/fhir/ValueSet/country"
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              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Lydia Ward</td><td>female</td><td>27-Dec-1968</td></tr></table></div>"
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        "gender": "female",
        "birthDate": "1968-12-27"
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      "fullUrl": "urn:uuid:7a2f167b-81ef-4112-8044-1efb125666a1",
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
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            ]
          },
          {
            "coding": [
              {
                "code": "15777000",
                "system": "http://snomed.info/sct",
                "display": "Prediabetes"
              }
            ]
          }
        ],
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          ]
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        "subject": {
          "reference": "urn:uuid:176e40ee-79dd-415b-8b4d-bb5428284336",
          "display": "Lydia Ward"
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        "requester": {
          "reference": "urn:uuid:51429323-4b7e-4896-a312-4153bd13e14f"
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      }
    },
    {
      "fullUrl": "urn:uuid:51429323-4b7e-4896-a312-4153bd13e14f",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "51429323-4b7e-4896-a312-4153bd13e14f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 51429323-4b7e-4896-a312-4153bd13e14f</div>"
        },
        "organization": {
          "reference": "urn:uuid:acf41b98-a0a4-45bd-81f8-ebf85a983606"
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      }
    },
    {
      "fullUrl": "urn:uuid:acf41b98-a0a4-45bd-81f8-ebf85a983606",
      "resource": {
        "resourceType": "Organization",
        "id": "acf41b98-a0a4-45bd-81f8-ebf85a983606",
        "meta": {
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        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "0b2266e1-b660-4c97-97d6-09001a13355b"
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        ],
        "address": [
          {
            "city": "Edinburgh",
            "postalCode": "EH9 2",
            "country": "United Kingdom"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Royal Hospital for Sick Children</div>"
        },
        "name": "Royal Hospital for Sick Children"
      }
    },
    {
      "fullUrl": "urn:uuid:7baa50d1-b891-4efe-9623-75ba2fdfd172",
      "resource": {
        "resourceType": "Specimen",
        "id": "7baa50d1-b891-4efe-9623-75ba2fdfd172",
        "meta": {
          "profile": [
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          ]
        },
        "collection": {
          "collectedDateTime": "2023-02-24"
        },
        "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\">24-Feb-2023</span></td></tr></table></div>"
        },
        "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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        },
        "collection": {
          "collectedDateTime": "2023-02-24"
        },
        "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\">24-Feb-2023</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "258580003",
              "system": "http://snomed.info/sct",
              "display": "Whole blood specimen (specimen)"
            }
          ]
        }
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    },
    {
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        "resourceType": "Observation",
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        },
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "category": [
          {
            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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              "display": "Erythrocyte distribution width [Entitic volume] by Automated count"
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              "display": "Platelets [#/volume] in Blood by Automated count"
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              "display": "Platelet distribution width [Entitic volume] in Blood by Automated count"
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              "code": "32623-1",
              "system": "http://loinc.org",
              "display": "Platelet mean volume [Entitic volume] in Blood by Automated count"
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          ],
          "text": "Platelet mean volume [Entitic volume] in Blood by Automated count"
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        "valueQuantity": {
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        "recorded": "2023-02-25T00:08:09Z"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: bd64adf1-d954-40c5-878d-ab992d1a64d6</div>"
        },
        "practitioner": {
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            "postalCode": "1000",
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            "country": "Belgium"
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  "type": "document",
  "timestamp": "2023-02-25T00:08:09Z"
}