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          {
            "code": {
              "coding": [
                {
                  "code": "26436-6",
                  "system": "http://loinc.org",
                  "display": "Laboratory studies (set)"
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            "section": [
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                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
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                "entry": [
                  {
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                  {
                    "reference": "urn:uuid:c822b7ee-4ae9-4ea1-acd9-c8997e8294e9"
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                    "reference": "urn:uuid:371ea3e7-b928-4353-a015-0e1208c1b3fb"
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                    "reference": "urn:uuid:772b94ca-f4f6-4ca9-bf98-9d76e7bc83f7"
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                    "reference": "urn:uuid:8ac16cd8-cc46-4796-b814-be01392aba25"
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                    "reference": "urn:uuid:312efbaf-6a40-4f34-a9ac-6adf782a4c83"
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                    "reference": "urn:uuid:c4d645d2-e2a0-490b-89eb-f82fca7ab062"
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                    "reference": "urn:uuid:2e8bb64e-4f74-4542-951e-62a299671ae2"
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                    "reference": "urn:uuid:020a9666-9644-4176-9282-acff23f48d2d"
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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>22-AUG-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>79.6</td><td>70 - 99</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>11.4</td><td>7 - 50</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>1.8 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>9.7</td><td>8.6 - 10.4</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>140.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.0</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>107.3</td><td>98 - 108</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>28.2</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><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td><strong>3.4 L</strong></td><td>4 - 6.4</td><td>%</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
                "code": {
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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:374e18d8-64bf-4d28-8ebe-61ae36b558f1"
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                    "reference": "urn:uuid:8141b206-0781-409a-8b8a-38d4c82fb9e5"
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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>22-AUG-2017</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>1.0 H</strong></td><td>0.8 - 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>0.5</td><td>0 - 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>2.9</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 - 1.03</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>5.5</td><td>4.6 - 7</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>183.0 H</strong></td><td>0 - 14</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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                  "text": "Specimen information"
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                "text": {
                  "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>22-AUG-2017</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 possible renal impairment. Urinalysis reveals significant proteinuria, glucosuria, ketonuria, low specific gravity, and abnormal urine appearance (cloudy, brown, ammoniacal), suggesting renal dysfunction, possibly with tubular involvement. Blood glucose and HbA1c are not elevated, making diabetes less likely. No evidence of urinary tract infection. Recommend further nephrological evaluation and assessment for underlying renal pathology.</td></tr></table></div>"
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                  "code": "48767-8",
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        "status": "final",
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          "display": "Meaghan Neary"
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        "date": "2017-08-22T00:11:04Z",
        "title": "Laboratory Report",
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              "display": "Laboratory report"
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              "code": "TRAIN"
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          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "1586-567257-8"
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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": "443e6379-f231-b364-3ccb-644740a1aa2a"
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        ],
        "name": [
          {
            "family": "Neary"
          },
          {
            "given": [
              "Meaghan"
            ]
          },
          {
            "text": "Meaghan Neary"
          }
        ],
        "address": [
          {
            "line": [
              "64 Linskey Street"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "D02",
            "city": "Dublin",
            "country": "Ireland"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "001-967-573-0911x465"
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality",
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "IE",
                  "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>Meaghan Neary</td><td>female</td><td>19-Dec-1960</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1960-12-19"
      }
    },
    {
      "fullUrl": "urn:uuid:ad516b5f-5a2b-45dc-8179-ee05064e92e5",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "ad516b5f-5a2b-45dc-8179-ee05064e92e5",
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          {
            "reference": "urn:uuid:2d55abc6-2aad-4610-8431-47eaabb1ebad"
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "433144002",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 3"
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            ]
          },
          {
            "coding": [
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                "code": "157141000119108",
                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
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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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                "code": "90781000119102",
                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
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            ]
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            "coding": [
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                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
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            ]
          },
          {
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                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
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            ]
          },
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
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          {
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                "system": "http://snomed.info/sct",
                "display": "Prediabetes"
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            ]
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          {
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                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
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        ],
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
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              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
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}