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                  {
                    "reference": "urn:uuid:0107e372-805f-4257-a4e4-b6e4a94694f9"
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                    "reference": "urn:uuid:06c7d62a-b0d9-44dc-9b74-bfdf5e9434af"
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                    "reference": "urn:uuid:5aaac47d-a2f6-4459-81fd-074f6ef8a6ed"
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                  {
                    "reference": "urn:uuid:68917425-dffd-43f4-9707-70d028c5c740"
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                  {
                    "reference": "urn:uuid:4bac2e82-dfd9-4d33-b3d3-0bc2901c34cd"
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                  {
                    "reference": "urn:uuid:27e3691d-fb2a-47af-a14e-899832be478c"
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                    "reference": "urn:uuid:c22aa1a5-8c3c-4d62-8df7-b76d86d1d340"
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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>13-DEC-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>92.6</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>9.8</td><td>7 - 20</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>8.8</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Serum or Plasma</td><td>136.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>4.5</td><td>3.5 - 5</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td><strong>109.8 H</strong></td><td>98 - 108</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>27.8</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>3.2 L</strong></td><td>4.3 - 6.4</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>92.6</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>9.8</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>7.0 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.8</td><td>8.5 - 10.5</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>136.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.5</td><td>3.5 - 5.3</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>109.8</td><td>98 - 110</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>27.8</td><td>22 - 29</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
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                  "coding": [
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                      "code": "$18729-4",
                      "system": "http://loinc.org",
                      "display": "Urinalysis studies (set)"
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                  "text": "Urinalysis"
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                "entry": [
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                    "reference": "urn:uuid:0397e648-4488-4475-b2e9-bcc5eebc4f0a"
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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>13-DEC-2023</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>1.7 H</strong></td><td>0 - 0.8</td><td>mg/dL</td></tr><tr><td>Glucose [Presence] in Urine by Test strip</td><td>++</td><td></td><td></td></tr><tr><td>Bilirubin.total [Mass/volume] in Urine by Test strip</td><td><strong>1.2 H</strong></td><td>0.2 - 1</td><td>mg/dL</td></tr><tr><td>Bilirubin.total [Presence] in Urine by Test strip</td><td>Finding of bilirubin in urine</td><td></td><td></td></tr><tr><td>Ketones [Mass/volume] in Urine by Test strip</td><td><strong>12.2 H</strong></td><td>0 - 5</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.005 - 1.03</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>6.9</td><td>4.6 - 7</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>351.0 H</strong></td><td>0 - 150</td><td>mg/dL</td></tr><tr><td>Protein [Presence] in Urine by Test strip</td><td>Urine protein test = ++</td><td></td><td></td></tr><tr><td>Nitrite [Presence] in Urine by Test strip</td><td>Urine nitrite negative</td><td></td><td></td></tr><tr><td>Hemoglobin [Presence] in Urine by Test strip</td><td>Urine blood test = negative</td><td></td><td></td></tr><tr><td>Leukocyte esterase [Presence] in Urine by Test strip</td><td>Urine leukocyte test negative</td><td></td><td></td></tr></tbody></table></div>"
                },
                "title": "Urinalysis"
              },
              {
                "code": {
                  "coding": [
                    {
                      "code": "$LP7846-1",
                      "system": "http://loinc.org",
                      "display": "Specimen information"
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                  "text": "Specimen information"
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                "entry": [
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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>13-DEC-2023</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": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows markedly elevated creatinine, proteinuria, glucosuria, ketonuria, and bilirubinuria, with low urine specific gravity and abnormal urine appearance, suggesting significant renal dysfunction, possibly acute or chronic kidney disease with impaired concentrating ability. The low HbA1c with normal serum glucose and high urine glucose/ketones may indicate recent onset or fluctuating hyperglycemia. Further nephrological and diabetic evaluation is recommended. No evidence of urinary tract infection. Prompt clinical correlation and follow-up are advised.</td></tr></table></div>"
            },
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                  "code": "48767-8",
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:79baca73-4b82-44bf-a6eb-17ec6946d4c3",
          "display": "Θεμιστοκλής Λιναρδάκη"
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        "date": "2023-12-13T07:16:00Z",
        "title": "Laboratory Report",
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          {
            "reference": "urn:uuid:4bac2e82-dfd9-4d33-b3d3-0bc2901c34cd"
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          {
            "reference": "urn:uuid:c22aa1a5-8c3c-4d62-8df7-b76d86d1d340"
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        ],
        "status": "registered",
        "code": {
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              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:79baca73-4b82-44bf-a6eb-17ec6946d4c3",
          "display": "Θεμιστοκλής Λιναρδάκη"
        }
      }
    },
    {
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      "resource": {
        "resourceType": "Patient",
        "id": "79baca73-4b82-44bf-a6eb-17ec6946d4c3",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          ],
          "tag": [
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              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
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        },
        "identifier": [
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            "type": {
              "coding": [
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                  "code": "PT",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "5962-476889-7"
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          {
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                  "code": "MR",
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            "system": "http://local.setting.eu/identifier",
            "value": "925e2603-2ef9-6bdf-1330-2ebf526636c4"
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        ],
        "name": [
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            "family": "Λιναρδάκη"
          },
          {
            "given": [
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            ]
          },
          {
            "text": "Θεμιστοκλής Λιναρδάκη"
          }
        ],
        "address": [
          {
            "line": [
              "Αμαρύνθου 54-58"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "262 21",
            "city": "Πάτρα",
            "country": "Greece"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+302226364480"
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality",
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "GR",
                  "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>Θεμιστοκλής Λιναρδάκη</td><td>male</td><td>21-Jan-1974</td></tr></table></div>"
        },
        "gender": "male",
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          "value": 1.7,
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        "code": {
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              "display": "Ketones [Mass/volume] in Urine by Test strip"
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          "text": "Ketones [Mass/volume] in Urine by Test strip"
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        ],
        "text": {
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        ],
        "code": {
          "coding": [
            {
              "code": "2514-8",
              "system": "http://loinc.org",
              "display": "Ketones [Presence] in Urine by Test strip"
            }
          ],
          "text": "Ketones [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>13-Dec-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Ketones [Presence] in Urine by Test strip</td></tr></table></div>"
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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": {
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          "value": 1,
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        "referenceRange": [
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              "value": 1.005,
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          },
          {
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              "value": 1.03,
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        ],
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        ],
        "code": {
          "coding": [
            {
              "code": "5803-2",
              "system": "http://loinc.org",
              "display": "pH of Urine by Test strip"
            }
          ],
          "text": "pH of Urine by Test strip"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 6.9,
          "unit": "pH",
          "code": "pH"
        },
        "referenceRange": [
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              "code": "pH",
              "system": "http://unitsofmeasure.org"
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          },
          {
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              "value": 7,
              "code": "pH",
              "system": "http://unitsofmeasure.org"
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        ],
        "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>13-Dec-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>pH of Urine by Test strip</td><td>6.9</td><td>4.6 - 7</td><td></td><td>pH</td></tr></table></div>"
        },
        "status": "final",
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    },
    {
      "fullUrl": "urn:uuid:4e41dcd9-3a29-40f3-a43b-dc634943cf4b",
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        "id": "4e41dcd9-3a29-40f3-a43b-dc634943cf4b",
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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": 351,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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            "low": {
              "value": 0,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          },
          {
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              "value": 150,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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                "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>13-Dec-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td>351.0</td><td>0 - 150</td><td>H</td><td>mg/dL</td></tr></table></div>"
        },
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        "code": {
          "coding": [
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              "code": "20454-5",
              "system": "http://loinc.org",
              "display": "Protein [Presence] in Urine by Test strip"
            }
          ],
          "text": "Protein [Presence] in Urine by Test strip"
        },
        "text": {
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        },
        "status": "final",
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    {
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        "id": "f77152ec-0193-4791-ba3f-d94a4a07ea61",
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            ]
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        ],
        "code": {
          "coding": [
            {
              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
            }
          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>13-Dec-2023</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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      }
    },
    {
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        "id": "168dcf37-de01-4efa-8833-b34dcb8abbc9",
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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>13-Dec-2023</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",
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        "effectiveDateTime": "2023-12-13T06:16:00Z",
        "specimen": {
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      }
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    {
      "fullUrl": "urn:uuid:90640117-2312-4068-968d-e35f7d8cf35c",
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        "id": "90640117-2312-4068-968d-e35f7d8cf35c",
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        },
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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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>13-Dec-2023</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:79baca73-4b82-44bf-a6eb-17ec6946d4c3",
          "display": "Θεμιστοκλής Λιναρδάκη"
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        "effectiveDateTime": "2023-12-13T06:16:00Z",
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      }
    },
    {
      "fullUrl": "urn:uuid:bc6b3baf-c401-4fd7-88df-22249cb826ba",
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        "meta": {
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        ],
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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": 3.2,
          "unit": "%",
          "code": "%"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4.3,
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              "system": "http://unitsofmeasure.org"
            }
          },
          {
            "high": {
              "value": 6.4,
              "code": "%",
              "system": "http://unitsofmeasure.org"
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          }
        ],
        "interpretation": [
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            "coding": [
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                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>13-Dec-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>3.2</td><td>4.3 - 6.4</td><td>L</td><td>%</td></tr></table></div>"
        },
        "status": "final",
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    },
    {
      "fullUrl": "urn:uuid:8fee0b9f-24a7-4704-a6c7-6e2a91885ea7",
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        ],
        "category": [
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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            ]
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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": 92.6,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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              "value": 70,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          },
          {
            "high": {
              "value": 140,
              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>13-Dec-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>92.6</td><td>70 - 140</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
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    },
    {
      "fullUrl": "urn:uuid:0107e372-805f-4257-a4e4-b6e4a94694f9",
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        },
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        ],
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                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
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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": 9.8,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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              "code": "mg/dL",
              "system": "http://unitsofmeasure.org"
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          },
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        "text": {
          "status": "generated",
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            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
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        ],
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  "timestamp": "2023-12-13T07:16:00Z"
}