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                    "reference": "urn:uuid:8c71f880-04d6-47e9-a150-217a68949b14"
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                    "reference": "urn:uuid:b10a932f-70d6-4a3a-bd64-3b3df3718b5c"
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                  {
                    "reference": "urn:uuid:f6879667-11a6-41b1-8bce-4dadfa557ddb"
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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>28-MAR-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>91.0</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>13.2</td><td>7 - 25</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Serum or Plasma</td><td><strong>2.0 H</strong></td><td>0.9 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Serum or Plasma</td><td>9.7</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>139.0</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>3.9</td><td>3.5 - 5.3</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>110.4 H</strong></td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>23.0</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>3.0 L</strong></td><td>4.5 - 6.4</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>91.0</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>13.2</td><td>7 - 25</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>1.9 H</strong></td><td>0.9 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>9.7</td><td>8.6 - 10.2</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>139.0</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>3.9</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td><strong>110.4 H</strong></td><td>98 - 108</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>23.0</td><td>22 - 32</td><td>mmol/L</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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                  "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-MAR-2024</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>2.0 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>1.0</td><td>0.2 - 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><strong>11.4 H</strong></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>1.01 - 1.03</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>6.7</td><td>4.5 - 7.5</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>346.2 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"
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              {
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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-MAR-2024</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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            "text": {
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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 elevated creatinine, suggesting impaired renal function, and high chloride. Urinalysis reveals proteinuria, glycosuria, ketonuria, low specific gravity, and abnormal urine appearance (cloudy, brown, ammoniacal), but no evidence of infection. Low HbA1c with normal blood glucose may indicate recent hypoglycemia or anemia. Findings are consistent with possible diabetic nephropathy or another renal pathology; further clinical correlation and nephrology evaluation are recommended.</td></tr></table></div>"
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
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        "date": "2024-03-28T06:38:59Z",
        "title": "Laboratory Report",
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          {
            "reference": "urn:uuid:8c71f880-04d6-47e9-a150-217a68949b14"
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          {
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          {
            "reference": "urn:uuid:c830fbe8-1026-4296-ad24-d7ca7db9455e"
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        ],
        "status": "registered",
        "code": {
          "coding": [
            {
              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
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    {
      "fullUrl": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
      "resource": {
        "resourceType": "Patient",
        "id": "64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
        "meta": {
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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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                  "code": "PT",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "7707-510028-7"
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                  "code": "MR",
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            "system": "http://local.setting.eu/identifier",
            "value": "d88e82c6-df33-82d2-8538-f8b57da06491"
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        ],
        "name": [
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          {
            "given": [
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          {
            "text": "Pelayo Casal"
          }
        ],
        "address": [
          {
            "line": [
              "Callejón de Ignacio Pedrosa 67 Apt. 68 "
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "35001",
            "city": "Las Palmas",
            "country": "Spain"
          }
        ],
        "telecom": [
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            "system": "phone",
            "value": "+34 875724898"
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        ],
        "extension": [
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            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality",
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "ES",
                  "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>Pelayo Casal</td><td>male</td><td>19-Apr-1940</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1940-04-19"
      }
    },
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            {
              "code": "2075-0",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Chloride [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 110.4,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 98,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 107,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>110.4</td><td>98 - 107</td><td>H</td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
          "reference": "urn:uuid:f53124d9-0f61-4ee2-9250-b79ceb9fe09f"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:62a79a01-f7a8-465e-b48a-ccb4d98b2164",
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        "resourceType": "Observation",
        "id": "62a79a01-f7a8-465e-b48a-ccb4d98b2164",
        "meta": {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2028-9",
              "system": "http://loinc.org",
              "display": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Carbon dioxide, total [Moles/volume] in Serum or Plasma"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 23,
          "unit": "mmol/L",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "low": {
              "value": 22,
              "code": "mmol/L",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 29,
              "code": "mmol/L",
              "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>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>23.0</td><td>22 - 29</td><td></td><td>mmol/L</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
          "reference": "urn:uuid:f53124d9-0f61-4ee2-9250-b79ceb9fe09f"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:15b8fa54-f53f-4269-96bc-73ac8e43e5ec",
      "resource": {
        "resourceType": "Observation",
        "id": "15b8fa54-f53f-4269-96bc-73ac8e43e5ec",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "5767-9",
              "system": "http://loinc.org",
              "display": "Appearance of Urine"
            }
          ],
          "text": "Appearance of Urine"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Appearance of Urine</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
          "reference": "urn:uuid:f60c1a64-0c81-48ba-a9fe-8ee49abe3485"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:9476641a-facb-4136-9215-f35361843cca",
      "resource": {
        "resourceType": "Observation",
        "id": "9476641a-facb-4136-9215-f35361843cca",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "category": [
          {
            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "34533-0",
              "system": "http://loinc.org",
              "display": "Odor of Urine"
            }
          ],
          "text": "Odor of Urine"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Odor of Urine</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
          "reference": "urn:uuid:f60c1a64-0c81-48ba-a9fe-8ee49abe3485"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2386092d-ff6b-4766-954e-6caff670fdd0",
      "resource": {
        "resourceType": "Observation",
        "id": "2386092d-ff6b-4766-954e-6caff670fdd0",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "32167-9",
              "system": "http://loinc.org",
              "display": "Clarity of Urine"
            }
          ],
          "text": "Clarity of Urine"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Clarity of Urine</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
          "reference": "urn:uuid:f60c1a64-0c81-48ba-a9fe-8ee49abe3485"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:73984405-25c8-4ed0-9ea0-9bb1218e1fce",
      "resource": {
        "resourceType": "Observation",
        "id": "73984405-25c8-4ed0-9ea0-9bb1218e1fce",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "category": [
          {
            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "5778-6",
              "system": "http://loinc.org",
              "display": "Color of Urine"
            }
          ],
          "text": "Color of Urine"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Color of Urine</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
          "reference": "urn:uuid:f60c1a64-0c81-48ba-a9fe-8ee49abe3485"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d02d2583-2ecc-45e8-99b0-89e34b8b8c00",
      "resource": {
        "resourceType": "Observation",
        "id": "d02d2583-2ecc-45e8-99b0-89e34b8b8c00",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "5792-7",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Glucose [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 2,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.8,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Urine by Test strip</td><td>2.0</td><td>0.8 - 0</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
          "reference": "urn:uuid:f60c1a64-0c81-48ba-a9fe-8ee49abe3485"
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      }
    },
    {
      "fullUrl": "urn:uuid:412679f9-deef-4cca-99c0-75791a3c2e59",
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        "id": "412679f9-deef-4cca-99c0-75791a3c2e59",
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        },
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "category": [
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            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "25428-4",
              "system": "http://loinc.org",
              "display": "Glucose [Presence] in Urine by Test strip"
            }
          ],
          "text": "Glucose [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>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Presence] in Urine by Test strip</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
          "reference": "urn:uuid:f60c1a64-0c81-48ba-a9fe-8ee49abe3485"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:6685283a-2d14-483e-93dd-27a3f9717eae",
      "resource": {
        "resourceType": "Observation",
        "id": "6685283a-2d14-483e-93dd-27a3f9717eae",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "performer": [
          {
            "display": "The Central European Lab"
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        ],
        "category": [
          {
            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "20505-4",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Bilirubin.total [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0.2,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 1.5,
              "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>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td>1.0</td><td>0.2 - 1.5</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
          "reference": "urn:uuid:f60c1a64-0c81-48ba-a9fe-8ee49abe3485"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a8823bfc-836c-461f-8242-eb09f5b47600",
      "resource": {
        "resourceType": "Observation",
        "id": "a8823bfc-836c-461f-8242-eb09f5b47600",
        "meta": {
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            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
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        },
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "category": [
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            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "5770-3",
              "system": "http://loinc.org",
              "display": "Bilirubin.total [Presence] in Urine by Test strip"
            }
          ],
          "text": "Bilirubin.total [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>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
          "reference": "urn:uuid:f60c1a64-0c81-48ba-a9fe-8ee49abe3485"
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      }
    },
    {
      "fullUrl": "urn:uuid:6a430a37-8494-4834-bf4b-e8d89a8eb2c5",
      "resource": {
        "resourceType": "Observation",
        "id": "6a430a37-8494-4834-bf4b-e8d89a8eb2c5",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "category": [
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            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "5797-6",
              "system": "http://loinc.org",
              "display": "Ketones [Mass/volume] in Urine by Test strip"
            }
          ],
          "text": "Ketones [Mass/volume] in Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 11.4,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 4,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td>11.4</td><td>0 - 4</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:84b846de-e92b-4676-9dc6-d8f603631583",
      "resource": {
        "resourceType": "Observation",
        "id": "84b846de-e92b-4676-9dc6-d8f603631583",
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        },
        "performer": [
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            "display": "The Central European Lab"
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        ],
        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "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"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Presence] in Urine by Test strip</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
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        "effectiveDateTime": "2024-03-28T05:38:59Z",
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        "code": {
          "coding": [
            {
              "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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1,
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        "referenceRange": [
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            "low": {
              "value": 1.01,
              "code": "g/mL",
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          },
          {
            "high": {
              "value": 1.03,
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                "display": "Low"
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        ],
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        "code": {
          "coding": [
            {
              "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"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 6.7,
          "unit": "pH",
          "code": "pH"
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        "referenceRange": [
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          },
          {
            "high": {
              "value": 7.5,
              "code": "pH",
              "system": "http://unitsofmeasure.org"
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        },
        "status": "final",
        "subject": {
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    {
      "fullUrl": "urn:uuid:5c453e5e-240f-4e27-8e10-b889056c5d62",
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        "resourceType": "Observation",
        "id": "5c453e5e-240f-4e27-8e10-b889056c5d62",
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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": 346.2,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 150,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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        "interpretation": [
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            "coding": [
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                "code": "H",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>346.2</td><td>0 - 150</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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          "reference": "urn:uuid:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
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      "fullUrl": "urn:uuid:855dc3ef-96d1-4bba-9384-77f2df155768",
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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        ],
        "code": {
          "coding": [
            {
              "code": "20454-5",
              "system": "http://loinc.org",
              "display": "Protein [Presence] in Urine by Test strip"
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          ],
          "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>28-Mar-2024</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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          "display": "Pelayo Casal"
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        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
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    {
      "fullUrl": "urn:uuid:ae110fd6-4ec8-4257-9634-ca9a9cb199da",
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        "category": [
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            "coding": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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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>28-Mar-2024</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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          "display": "Pelayo Casal"
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        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:2424bbab-44fb-4403-be28-ecc0d380a1af",
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        "id": "2424bbab-44fb-4403-be28-ecc0d380a1af",
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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>28-Mar-2024</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": {
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          "display": "Pelayo Casal"
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        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:16444659-720d-45b6-b78d-395900bc0230",
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        "id": "16444659-720d-45b6-b78d-395900bc0230",
        "meta": {
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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>28-Mar-2024</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:64c7b8bb-0866-42cc-9ff2-2478ecdb64c4",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
          "reference": "urn:uuid:f60c1a64-0c81-48ba-a9fe-8ee49abe3485"
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      }
    },
    {
      "fullUrl": "urn:uuid:3faf84e1-eeae-43c0-ba97-ce4c222f4fb1",
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        "id": "3faf84e1-eeae-43c0-ba97-ce4c222f4fb1",
        "meta": {
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        },
        "performer": [
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        ],
        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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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": 3,
          "unit": "%",
          "code": "%"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4.5,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 6.4,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "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>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>3.0</td><td>4.5 - 6.4</td><td>L</td><td>%</td></tr></table></div>"
        },
        "status": "final",
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    {
      "fullUrl": "urn:uuid:5ef33527-14c5-448f-9b3c-f09364b88b62",
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        "category": [
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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": 91,
          "unit": "mg/dL",
          "code": "mg/dL"
        },
        "referenceRange": [
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          },
          {
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              "value": 140,
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              "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>28-Mar-2024</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>91.0</td><td>70 - 140</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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        "effectiveDateTime": "2024-03-28T05:38:59Z",
        "specimen": {
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      }
    },
    {
      "fullUrl": "urn:uuid:63bdc734-2e05-4061-9c04-fd615e39d29b",
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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": 13.2,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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          },
          {
            "high": {
              "value": 25,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
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        },
        "status": "final",
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          "value": 139,
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          "value": 3.9,
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              "display": "Chloride [Moles/volume] in Blood"
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          ],
          "text": "Chloride [Moles/volume] in Blood"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 110.4,
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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        "text": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 64f83117-34b8-46e2-8d5f-b189fdba51af</div>"
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              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
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  "timestamp": "2024-03-28T06:38:59Z"
}