{
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                    "reference": "urn:uuid:3901a9bd-abc2-4f45-a41b-ed4c19fb8cb5"
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                  {
                    "reference": "urn:uuid:e22ff846-3b8b-40ec-836e-54a12e3d3836"
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                    "reference": "urn:uuid:f07ba829-1b99-4c54-8483-c4b7f9c7015d"
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                  {
                    "reference": "urn:uuid:cdbda857-5e1b-4bc5-a12c-0b233b5717d0"
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                  {
                    "reference": "urn:uuid:10ed4175-1fde-4abd-ad79-b22a49dd3f31"
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                  {
                    "reference": "urn:uuid:dc0e4c56-0ed7-4013-9a12-a44173de52c4"
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                  {
                    "reference": "urn:uuid:18d67574-61bc-45f5-92ce-7c2cea5fdd51"
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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>16-NOV-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>75.6</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>8.8</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.1 H</strong></td><td>0.9 - 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>138.8</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.7</td><td>3.5 - 5</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>103.6</td><td>98 - 108</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td><strong>20.4 L</strong></td><td>22 - 29</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><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>2.9 L</strong></td><td>4.3 - 6.4</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>75.6</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>8.8</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>8.1 H</strong></td><td>0.6 - 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>138.8</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 - 5.3</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>103.6</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td><strong>20.4 L</strong></td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
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                "code": {
                  "coding": [
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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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                    "reference": "urn:uuid:42e26a50-8675-404c-9c18-b2cac9b92055"
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                    "reference": "urn:uuid:338d57d1-eca5-474e-b098-4ac9e1dc5ca3"
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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>16-NOV-2022</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>1.3 H</strong></td><td>0 - 0.8</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>0.9</td><td>0.2 - 1</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td><strong>5.6 H</strong></td><td>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>5.3</td><td>4.6 - 7</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>384.5 H</strong></td><td>0 - 150</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"
              },
              {
                "code": {
                  "coding": [
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                      "code": "$LP7846-1",
                      "system": "http://loinc.org",
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                  "text": "Specimen information"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Specimen information</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>16-NOV-2022</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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            "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>The patient shows markedly elevated creatinine, low total CO₂, and significant proteinuria, suggesting impaired renal function with possible metabolic acidosis. Urinalysis reveals glucosuria, ketonuria, and proteinuria despite normal blood glucose and low HbA1c, which may indicate renal glycosuria or tubular dysfunction. Cloudy, brown urine with ammoniacal odor may suggest underlying urinary tract pathology. Prompt nephrology evaluation is recommended.</td></tr></table></div>"
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          "reference": "urn:uuid:154915b5-05df-4fe8-84bb-9928bd0cd863",
          "display": "Θεμιστοκλής Λιναρδάκη"
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        "date": "2022-11-16T07:16:00Z",
        "title": "Laboratory Report",
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          {
            "reference": "urn:uuid:dc0e4c56-0ed7-4013-9a12-a44173de52c4"
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        ],
        "status": "registered",
        "code": {
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              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
            }
          ]
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        "subject": {
          "reference": "urn:uuid:154915b5-05df-4fe8-84bb-9928bd0cd863",
          "display": "Θεμιστοκλής Λιναρδάκη"
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      "resource": {
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        "id": "154915b5-05df-4fe8-84bb-9928bd0cd863",
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              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
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        "identifier": [
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            "type": {
              "coding": [
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                  "code": "PT",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "5962-476889-7"
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            "system": "http://local.setting.eu/identifier",
            "value": "925e2603-2ef9-6bdf-1330-2ebf526636c4"
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        ],
        "name": [
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          {
            "given": [
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            ]
          },
          {
            "text": "Θεμιστοκλής Λιναρδάκη"
          }
        ],
        "address": [
          {
            "line": [
              "Αμαρύνθου 54-58"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "262 21",
            "city": "Πάτρα",
            "country": "Greece"
          }
        ],
        "telecom": [
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            "system": "phone",
            "value": "+302226364480"
          }
        ],
        "extension": [
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            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality",
            "valueCodeableConcept": {
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                {
                  "code": "GR",
                  "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>Θεμιστοκλής Λιναρδάκη</td><td>male</td><td>21-Jan-1974</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1974-01-21"
      }
    },
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              "code": "2075-0",
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              "display": "Chloride [Moles/volume] in Serum or Plasma"
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          ],
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          "value": 1.3,
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              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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          "value": 0.9,
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        },
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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": {
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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": 5.6,
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        ],
        "text": {
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        },
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        ],
        "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"
        },
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        "code": {
          "coding": [
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              "code": "5811-5",
              "system": "http://loinc.org",
              "display": "Specific gravity of Urine by Test strip"
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          ],
          "text": "Specific gravity of Urine by Test strip"
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        "valueQuantity": {
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          "value": 1,
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              "value": 1.005,
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          },
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              "value": 1.03,
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        ],
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        ],
        "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"
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        "referenceRange": [
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            "low": {
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              "code": "pH",
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          },
          {
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              "value": 7,
              "code": "pH",
              "system": "http://unitsofmeasure.org"
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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>16-Nov-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>5.3</td><td>4.6 - 7</td><td></td><td>pH</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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    {
      "fullUrl": "urn:uuid:defda001-767d-4f91-ab3e-dd6fe8ea3158",
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        "id": "defda001-767d-4f91-ab3e-dd6fe8ea3158",
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        "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": 384.5,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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            "low": {
              "value": 0,
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              "system": "http://unitsofmeasure.org"
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          },
          {
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              "value": 150,
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              "system": "http://unitsofmeasure.org"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
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            ]
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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>16-Nov-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>384.5</td><td>0 - 150</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        ],
        "code": {
          "coding": [
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              "code": "20454-5",
              "system": "http://loinc.org",
              "display": "Protein [Presence] in Urine by Test strip"
            }
          ],
          "text": "Protein [Presence] in Urine by Test strip"
        },
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>16-Nov-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Presence] in Urine by Test strip</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2022-11-16T06:16:00Z",
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    {
      "fullUrl": "urn:uuid:65958c9c-7386-4cc4-a314-321e0ad38b4f",
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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>16-Nov-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td></tr></table></div>"
        },
        "status": "final",
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    {
      "fullUrl": "urn:uuid:338d57d1-eca5-474e-b098-4ac9e1dc5ca3",
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        "id": "338d57d1-eca5-474e-b098-4ac9e1dc5ca3",
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        },
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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            ]
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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>16-Nov-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:154915b5-05df-4fe8-84bb-9928bd0cd863",
          "display": "Θεμιστοκλής Λιναρδάκη"
        },
        "effectiveDateTime": "2022-11-16T06:16:00Z",
        "specimen": {
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        }
      }
    },
    {
      "fullUrl": "urn:uuid:bf0312d0-d690-4a64-b98f-ed4eea67802a",
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        "resourceType": "Observation",
        "id": "bf0312d0-d690-4a64-b98f-ed4eea67802a",
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        },
        "performer": [
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        ],
        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
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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>16-Nov-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:154915b5-05df-4fe8-84bb-9928bd0cd863",
          "display": "Θεμιστοκλής Λιναρδάκη"
        },
        "effectiveDateTime": "2022-11-16T06:16:00Z",
        "specimen": {
          "reference": "urn:uuid:c5811d8d-c548-469e-ad12-7c59008c239a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ce6122ce-0806-458a-a69a-5921441c1000",
      "resource": {
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        "id": "ce6122ce-0806-458a-a69a-5921441c1000",
        "meta": {
          "profile": [
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        },
        "performer": [
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        ],
        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
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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": 2.9,
          "unit": "%",
          "code": "%"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4.3,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 6.4,
              "code": "%",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "interpretation": [
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            "coding": [
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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>16-Nov-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>2.9</td><td>4.3 - 6.4</td><td>L</td><td>%</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:154915b5-05df-4fe8-84bb-9928bd0cd863",
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        "effectiveDateTime": "2022-11-16T06:16:00Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:5c5d4219-8a6e-4a6c-97fb-436ea613e201",
      "resource": {
        "resourceType": "Observation",
        "id": "5c5d4219-8a6e-4a6c-97fb-436ea613e201",
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        },
        "performer": [
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        ],
        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
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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": 75.6,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 140,
              "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>16-Nov-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>75.6</td><td>70 - 140</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:154915b5-05df-4fe8-84bb-9928bd0cd863",
          "display": "Θεμιστοκλής Λιναρδάκη"
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        "effectiveDateTime": "2022-11-16T06:16:00Z",
        "specimen": {
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        }
      }
    },
    {
      "fullUrl": "urn:uuid:3901a9bd-abc2-4f45-a41b-ed4c19fb8cb5",
      "resource": {
        "resourceType": "Observation",
        "id": "3901a9bd-abc2-4f45-a41b-ed4c19fb8cb5",
        "meta": {
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        },
        "performer": [
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        ],
        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "6299-2",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
            }
          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 8.8,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 7,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 20,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>16-Nov-2022</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>8.8</td><td>7 - 20</td><td></td><td>mg/dL</td></tr></table></div>"
        },
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              "display": "Chloride [Moles/volume] in Blood"
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          "status": "generated",
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            "postalCode": "1000",
            "city": "Brussels",
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  "timestamp": "2022-11-16T07:16:00Z"
}