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          "coding": [
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              "display": "Laboratory report"
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          "text": "Laboratory Report"
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            "code": {
              "coding": [
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                  "code": "26436-6",
                  "system": "http://loinc.org",
                  "display": "Laboratory studies (set)"
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              "text": "Laboratory studies"
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            "section": [
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                "code": {
                  "coding": [
                    {
                      "code": "$18719-5",
                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
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                  ],
                  "text": "Chemistry"
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                "entry": [
                  {
                    "reference": "urn:uuid:6888b305-220d-4f4c-8771-b4e8729a4982"
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                    "reference": "urn:uuid:9a071705-9652-4a30-8891-e007e9f3cc23"
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                    "reference": "urn:uuid:539f55b8-fa22-4959-8075-6e56de77cf70"
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                  {
                    "reference": "urn:uuid:75d5b954-3458-45ee-94c4-82333e984ce1"
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                    "reference": "urn:uuid:edc2f9d3-b3dc-4f48-bc1a-662d068b4623"
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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>28-JAN-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>81.0</td><td>70 - 139</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>15.3</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.0 H</strong></td><td>0.6 - 1.1</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>10.0</td><td>8.5 - 10.4</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>137.1</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.2</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>109.3</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>25.2</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Ketones [Presence] in Urine by Test strip</td><td>Urine ketone test = +</td><td></td><td></td></tr></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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                "entry": [
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                    "reference": "urn:uuid:aec90cc1-9088-4761-95e2-cdfffcea8109"
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                  {
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                    "reference": "urn:uuid:81b21165-26e4-47c1-928b-42b2d7a07ebd"
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                "text": {
                  "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>28-JAN-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>0.6 H</strong></td><td>0 - 0</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>0.7</td><td>0 - 1.6</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>7.7 H</strong></td><td>0 - 0.5</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 - 1.03</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>6.0</td><td>4.5 - 7.5</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>177.2 H</strong></td><td>0 - 15</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>28-JAN-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>"
                },
                "title": "Specimen information"
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            ],
            "title": "Laboratory Report"
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            "text": {
              "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 elevated serum creatinine, indicating impaired renal function. Urinalysis reveals significant proteinuria, glucosuria, and ketonuria, with low specific gravity and abnormal urine appearance (cloudy, brown, ammoniacal odor), but no evidence of infection (negative nitrites/leukocytes). Findings suggest possible diabetic nephropathy or another form of renal dysfunction with impaired concentrating ability. Further nephrological evaluation is recommended.</td></tr></table></div>"
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:e32aa8d5-c723-4e29-bf26-e181c320f8d5",
          "display": "Hortense Gallet"
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        "date": "2025-01-28T21:16:45Z",
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          "reference": "urn:uuid:e32aa8d5-c723-4e29-bf26-e181c320f8d5",
          "display": "Hortense Gallet"
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              "code": "TRAIN"
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          "tag": [
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              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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                  "code": "PT",
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                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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            "system": "http://local.setting.eu/identifier",
            "value": "7f40b956-404d-dd5b-92ca-442ee97c8277"
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        ],
        "name": [
          {
            "family": "Gallet"
          },
          {
            "given": [
              "Hortense"
            ]
          },
          {
            "text": "Hortense Gallet"
          }
        ],
        "address": [
          {
            "line": [
              "98, boulevard de Faure"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "03210",
            "city": "Besson",
            "country": "France"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "03 26 87 89 04"
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality",
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "FR",
                  "system": "http://hl7.org/fhir/ValueSet/country"
                }
              ]
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Hortense Gallet</td><td>female</td><td>14-Feb-1967</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1967-02-14"
      }
    },
    {
      "fullUrl": "urn:uuid:ffb07e37-25ad-4ced-bc47-33bf99fb884b",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "ffb07e37-25ad-4ced-bc47-33bf99fb884b",
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            "reference": "urn:uuid:d13e7fb3-5d56-448f-a11a-6e1e8bfc52ef"
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "90781000119102",
                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
          }
        ],
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
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              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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          "display": "Hortense Gallet"
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      "fullUrl": "urn:uuid:a65243fd-e7f4-487f-b652-a894e1a5902e",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "a65243fd-e7f4-487f-b652-a894e1a5902e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
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        },
        "text": {
          "status": "generated",
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        },
        "organization": {
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              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
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              "display": "Chloride [Moles/volume] in Serum or Plasma"
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              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
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              "display": "Appearance of Urine"
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          ],
          "text": "Appearance of Urine"
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              "system": "http://loinc.org",
              "display": "Glucose [Presence] in Urine by Test strip"
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        "code": {
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              "code": "20505-4",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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          "text": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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              "display": "Bilirubin.total [Presence] in Urine by Test strip"
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          "text": "Bilirubin.total [Presence] in Urine by Test strip"
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        "code": {
          "coding": [
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              "code": "5797-6",
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              "display": "Ketones [Mass/volume] in Urine by Test strip"
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          "text": "Ketones [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 7.7,
          "unit": "mg/dL",
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        },
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          "text": "Ketones [Presence] in Urine by Test strip"
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              "display": "Specific gravity of Urine by Test strip"
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          "value": 1,
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        "code": {
          "coding": [
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              "code": "5803-2",
              "system": "http://loinc.org",
              "display": "pH of Urine by Test strip"
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          ],
          "text": "pH of Urine by Test strip"
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        "valueQuantity": {
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          "value": 6,
          "unit": "pH",
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        "referenceRange": [
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}