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                  "display": "Laboratory studies (set)"
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                  "coding": [
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                      "code": "$18719-5",
                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
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                  "text": "Chemistry"
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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>16-JUL-2018</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td>75.3</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>12.5</td><td>7 - 30</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.6 H</strong></td><td>0.5 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.3</td><td>8.6 - 10.2</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.1</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>5.1</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>109.1</td><td>98 - 114</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.5</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": {
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                      "display": "Urinalysis studies (set)"
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                  "text": "Urinalysis"
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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-JUL-2018</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>0.9 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>0.7</td><td>0 - 1.5</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>0.1</td><td>0 - 8</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.01 - 1.03</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>6.6</td><td>4.6 - 7.5</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>425.4 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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                  "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-JUL-2018</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>Appearance 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": "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 significantly elevated serum creatinine, indicating impaired renal function. Urinalysis reveals marked proteinuria, glucosuria, and ketonuria, with low specific gravity and abnormal urine appearance (cloudy, brown, ammoniacal), but no hematuria or leukocyturia. These findings suggest possible diabetic nephropathy or another chronic kidney disease with tubular dysfunction. Further clinical correlation and nephrology evaluation are recommended.</td></tr></table></div>"
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:771586c5-a78f-4e4e-82fb-14fba95e9d1c",
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        "date": "2018-07-16T14:02:04Z",
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          "reference": "urn:uuid:771586c5-a78f-4e4e-82fb-14fba95e9d1c",
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              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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            "system": "http://local.setting.eu/identifier",
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        ],
        "name": [
          {
            "family": "Nohlmans"
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          {
            "given": [
              "Maria"
            ]
          },
          {
            "text": "Maria Nohlmans"
          }
        ],
        "address": [
          {
            "line": [
              "Alfons-Wulff-Weg 1"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "25813",
            "city": "Husum",
            "country": "Germany"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+49(0)1911 105501"
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality",
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "DE",
                  "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>Maria Nohlmans</td><td>female</td><td>11-Jun-1947</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1947-06-11"
      }
    },
    {
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        ],
        "reasonCode": [
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            "coding": [
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                "code": "401314000",
                "system": "http://snomed.info/sct",
                "display": "Acute non-ST segment elevation myocardial infarction"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "157141000119108",
                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
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                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
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            ]
          },
          {
            "coding": [
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                "code": "90781000119102",
                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
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                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
              }
            ]
          },
          {
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              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
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            ]
          },
          {
            "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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        "subject": {
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          "display": "Maria Nohlmans"
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      "resource": {
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        "meta": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: 0f4423d9-06b5-46a1-9ef5-009073a6473e</div>"
        },
        "organization": {
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          "value": 109.1,
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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              "display": "Appearance of Urine"
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          ],
          "text": "Appearance of Urine"
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}