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                  "coding": [
                    {
                      "code": "$18723-7",
                      "system": "http://loinc.org",
                      "display": "Hematology studies (set)"
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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>19-JUN-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td><strong>3.8 L</strong></td><td>4 - 11</td><td>10*3/uL</td></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>4.5</td><td>4.2 - 5.8</td><td>10*6/uL</td></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>14.1</td><td>12 - 16</td><td>g/dL</td></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>47.1</td><td>36 - 48</td><td>%</td></tr><tr><td>MCV [Entitic volume] by Automated count</td><td>82.5</td><td>78 - 98</td><td>fL</td></tr><tr><td>MCH [Entitic mass] by Automated count</td><td>31.9</td><td>27 - 34.5</td><td>pg</td></tr><tr><td>MCHC [Mass/volume] by Automated count</td><td>32.9</td><td>31.5 - 35.5</td><td>g/dL</td></tr><tr><td>Erythrocyte distribution width [Ratio] by Automated count</td><td>14.3</td><td>11.5 - 16</td><td>%</td></tr><tr><td>Platelets [#/volume] in Blood by Automated count</td><td><strong>433.2 H</strong></td><td>150 - 350</td><td>10*3/uL</td></tr></tbody></table></div>"
                },
                "title": "Hematology"
              },
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                      "display": "Chemistry studies (set)"
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                },
                "title": "Chemistry"
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                      "system": "http://loinc.org",
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                  "text": "Coagulation"
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                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Coagulation</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>19-JUN-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Prothrombin time (PT)</td><td><strong>9.5 L</strong></td><td>11 - 15</td><td>s</td></tr><tr><td>INR in Platelet poor plasma by Coagulation assay</td><td>1.0</td><td>0.9 - 3</td><td>{INR}</td></tr><tr><td>aPTT in Blood by Coagulation assay</td><td>31.6</td><td>25 - 40</td><td>s</td></tr></tbody></table></div>"
                },
                "title": "Coagulation"
              }
            ],
            "title": "Laboratory Report"
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              "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 leukopenia, thrombocytosis, markedly elevated total bilirubin, and significantly increased creatinine, indicating possible renal dysfunction and hyperbilirubinemia. Severe metabolic acidosis is present (arterial pH 6.8, low O2 saturation), which is life-threatening and requires urgent intervention. Other parameters, including liver enzymes and electrolytes, are within normal limits. Immediate clinical assessment and management are strongly recommended.</td></tr></table></div>"
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            "system": "http://local.setting.eu/identifier",
            "value": "1d8dc8c5-3a85-b1b5-4101-cca776d0be28"
          }
        ],
        "name": [
          {
            "family": "Balog"
          },
          {
            "given": [
              "Magdolna"
            ]
          },
          {
            "text": "Magdolna Balog"
          }
        ],
        "address": [
          {
            "line": [
              "Ady endre utca 160."
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "3989",
            "city": "Némethídfa",
            "country": "Hungary"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+36 46 091-2914"
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality",
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "HU",
                  "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>Magdolna Balog</td><td>female</td><td>21-May-1946</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1946-05-21"
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    },
    {
      "fullUrl": "urn:uuid:4c974133-723a-44d8-ab62-b5df4616874d",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "4c974133-723a-44d8-ab62-b5df4616874d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"
          ]
        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "d8ab97d6-90f7-488b-a33f-55d41df4bb0d"
          }
        ],
        "specimen": [
          {
            "reference": "urn:uuid:b5ea14f9-690d-4ade-a105-257da32cabdd"
          },
          {
            "reference": "urn:uuid:f3984d40-30f0-446d-ace5-d83b32f4ee2b"
          },
          {
            "reference": "urn:uuid:048d030f-1fe0-4910-9e51-1e58e4ffe769"
          },
          {
            "reference": "urn:uuid:ab61203b-eed4-4b3f-a0d5-0cb204bad965"
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        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "26929004",
                "system": "http://snomed.info/sct",
                "display": "Alzheimer&#039;s disease"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "414545008",
                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "49436004",
                "system": "http://snomed.info/sct",
                "display": "Atrial fibrillation"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "64859006",
                "system": "http://snomed.info/sct",
                "display": "Osteoporosis"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "15777000",
                "system": "http://snomed.info/sct",
                "display": "Prediabetes"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
              }
            ]
          }
        ],
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:e5ac9e92-80e9-4f6f-90c9-647f96296c48",
          "display": "Magdolna Balog"
        },
        "requester": {
          "reference": "urn:uuid:cad2a17e-bfae-41a3-92b0-e38e3b90aaac"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:cad2a17e-bfae-41a3-92b0-e38e3b90aaac",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "cad2a17e-bfae-41a3-92b0-e38e3b90aaac",
        "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: cad2a17e-bfae-41a3-92b0-e38e3b90aaac</div>"
        },
        "organization": {
          "reference": "urn:uuid:0904eb4b-b411-474d-a318-07130a24bb11"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:0904eb4b-b411-474d-a318-07130a24bb11",
      "resource": {
        "resourceType": "Organization",
        "id": "0904eb4b-b411-474d-a318-07130a24bb11",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu"
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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": "aeca56b0-3bff-483e-83e8-767eff1b8204"
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        ],
        "address": [
          {
            "line": [
              "Csabai kapu 9-11"
            ],
            "city": "Miskolc",
            "postalCode": "3529",
            "country": "Hungary"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Semmelweis Ignác Egészségügyi Központ és Egyetemi Oktató Kórház</div>"
        },
        "name": "Semmelweis Ignác Egészségügyi Központ és Egyetemi Oktató Kórház"
      }
    },
    {
      "fullUrl": "urn:uuid:b5ea14f9-690d-4ade-a105-257da32cabdd",
      "resource": {
        "resourceType": "Specimen",
        "id": "b5ea14f9-690d-4ade-a105-257da32cabdd",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
          "collectedDateTime": "2017-06-19"
        },
        "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\">19-Jun-2017</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:b5ea14f9-690d-4ade-a105-257da32cabdd",
      "resource": {
        "resourceType": "Specimen",
        "id": "b5ea14f9-690d-4ade-a105-257da32cabdd",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
          "collectedDateTime": "2017-06-19"
        },
        "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\">19-Jun-2017</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:f3984d40-30f0-446d-ace5-d83b32f4ee2b",
      "resource": {
        "resourceType": "Specimen",
        "id": "f3984d40-30f0-446d-ace5-d83b32f4ee2b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
          "collectedDateTime": "2017-06-19"
        },
        "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\">19-Jun-2017</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122592007",
              "system": "http://snomed.info/sct",
              "display": "Acellular blood (serum or plasma) specimen"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:048d030f-1fe0-4910-9e51-1e58e4ffe769",
      "resource": {
        "resourceType": "Specimen",
        "id": "048d030f-1fe0-4910-9e51-1e58e4ffe769",
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          "profile": [
            "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>Platelet poor plasma specimen</td><td><span class=\"nb\">19-Jun-2017</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "119362004",
              "system": "http://snomed.info/sct",
              "display": "Platelet poor plasma specimen"
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          ]
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      }
    },
    {
      "fullUrl": "urn:uuid:ab61203b-eed4-4b3f-a0d5-0cb204bad965",
      "resource": {
        "resourceType": "Specimen",
        "id": "ab61203b-eed4-4b3f-a0d5-0cb204bad965",
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          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
          "collectedDateTime": "2017-06-19"
        },
        "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>Arterial blood specimen</td><td><span class=\"nb\">19-Jun-2017</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122552005",
              "system": "http://snomed.info/sct",
              "display": "Arterial blood specimen"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b977391e-9e89-4b54-b5ba-b4a2eb466d08",
      "resource": {
        "resourceType": "Observation",
        "id": "b977391e-9e89-4b54-b5ba-b4a2eb466d08",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "performer": [
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        ],
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        "code": {
          "coding": [
            {
              "code": "6690-2",
              "system": "http://loinc.org",
              "display": "Leukocytes [#/volume] in Blood by Automated count"
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          ],
          "text": "Leukocytes [#/volume] in Blood by Automated count"
        },
        "valueQuantity": {
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          "value": 3.8,
          "unit": "10*3/uL",
          "code": "10*3/uL"
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          {
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              "code": "10*3/uL",
              "system": "http://unitsofmeasure.org"
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          {
            "high": {
              "value": 11,
              "code": "10*3/uL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
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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>19-Jun-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Leukocytes [#/volume] in Blood by Automated count</td><td>3.8</td><td>4 - 11</td><td>L</td><td>10*3/uL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:e5ac9e92-80e9-4f6f-90c9-647f96296c48",
          "display": "Magdolna Balog"
        },
        "effectiveDateTime": "2017-06-19T03:32:25Z",
        "specimen": {
          "reference": "urn:uuid:b5ea14f9-690d-4ade-a105-257da32cabdd"
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      }
    },
    {
      "fullUrl": "urn:uuid:b757c2a5-91eb-4ea5-9027-e5ca0a50d407",
      "resource": {
        "resourceType": "Observation",
        "id": "b757c2a5-91eb-4ea5-9027-e5ca0a50d407",
        "meta": {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
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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": "789-8",
              "system": "http://loinc.org",
              "display": "Erythrocytes [#/volume] in Blood by Automated count"
            }
          ],
          "text": "Erythrocytes [#/volume] in Blood by Automated count"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 4.5,
          "unit": "10*6/uL",
          "code": "10*6/uL"
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        "referenceRange": [
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            "low": {
              "value": 4.2,
              "code": "10*6/uL",
              "system": "http://unitsofmeasure.org"
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          {
            "high": {
              "value": 5.8,
              "code": "10*6/uL",
              "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>19-Jun-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Erythrocytes [#/volume] in Blood by Automated count</td><td>4.5</td><td>4.2 - 5.8</td><td></td><td>10*6/uL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:e5ac9e92-80e9-4f6f-90c9-647f96296c48",
          "display": "Magdolna Balog"
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        "effectiveDateTime": "2017-06-19T03:32:25Z",
        "specimen": {
          "reference": "urn:uuid:b5ea14f9-690d-4ade-a105-257da32cabdd"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2b3c6901-5da4-4687-b8b4-fbe3b5f99a6e",
      "resource": {
        "resourceType": "Observation",
        "id": "2b3c6901-5da4-4687-b8b4-fbe3b5f99a6e",
        "meta": {
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                "code": "laboratory"
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        ],
        "code": {
          "coding": [
            {
              "code": "718-7",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Mass/volume] in Blood"
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          ],
          "text": "Hemoglobin [Mass/volume] in Blood"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 14.1,
          "unit": "g/dL",
          "code": "g/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 12,
              "code": "g/dL",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 16,
              "code": "g/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>19-Jun-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin [Mass/volume] in Blood</td><td>14.1</td><td>12 - 16</td><td></td><td>g/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:e5ac9e92-80e9-4f6f-90c9-647f96296c48",
          "display": "Magdolna Balog"
        },
        "effectiveDateTime": "2017-06-19T03:32:25Z",
        "specimen": {
          "reference": "urn:uuid:b5ea14f9-690d-4ade-a105-257da32cabdd"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3d3e0a58-64a9-4536-874a-5755e1571752",
      "resource": {
        "resourceType": "Observation",
        "id": "3d3e0a58-64a9-4536-874a-5755e1571752",
        "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": "4544-3",
              "system": "http://loinc.org",
              "display": "Hematocrit [Volume Fraction] of Blood by Automated count"
            }
          ],
          "text": "Hematocrit [Volume Fraction] of Blood by Automated count"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 47.1,
          "unit": "%",
          "code": "%"
        },
        "referenceRange": [
          {
            "low": {
              "value": 36,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 48,
              "code": "%",
              "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>19-Jun-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hematocrit [Volume Fraction] of Blood by Automated count</td><td>47.1</td><td>36 - 48</td><td></td><td>%</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:e5ac9e92-80e9-4f6f-90c9-647f96296c48",
          "display": "Magdolna Balog"
        },
        "effectiveDateTime": "2017-06-19T03:32:25Z",
        "specimen": {
          "reference": "urn:uuid:b5ea14f9-690d-4ade-a105-257da32cabdd"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4a10abfa-e340-4184-90c0-bf4de91ae61b",
      "resource": {
        "resourceType": "Observation",
        "id": "4a10abfa-e340-4184-90c0-bf4de91ae61b",
        "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": "787-2",
              "system": "http://loinc.org",
              "display": "MCV [Entitic volume] by Automated count"
            }
          ],
          "text": "MCV [Entitic volume] by Automated count"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 82.5,
          "unit": "fL",
          "code": "fL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 78,
              "code": "fL",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 98,
              "code": "fL",
              "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>19-Jun-2017</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>MCV [Entitic volume] by Automated count</td><td>82.5</td><td>78 - 98</td><td></td><td>fL</td></tr></table></div>"
        },
        "status": "final",
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              "display": "Oxygen [Partial pressure] in Arterial blood"
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          "value": 91.5,
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              "display": "Bicarbonate [Moles/volume] in Arterial blood"
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          "text": "Bicarbonate [Moles/volume] in Arterial blood"
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              "display": "Oxygen saturation in Arterial blood"
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          ],
          "text": "Oxygen saturation in Arterial blood"
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        "valueQuantity": {
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        "code": {
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              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
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          ],
          "text": "Cholesterol [Mass/volume] in Serum or Plasma"
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        "valueQuantity": {
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          "value": 159.4,
          "unit": "mg/dL",
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          }
        ],
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        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 4aa82321-f08a-4e06-a996-eea7e2244def</div>"
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            "city": "Brussels",
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  "timestamp": "2017-06-19T05:32:25Z"
}
