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                      "code": "$18719-5",
                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
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                    "reference": "urn:uuid:2fb3a047-eae6-4881-97a9-0ecee67cfae3"
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                    "reference": "urn:uuid:444757ea-d85a-4bc1-929a-22d49d1f7352"
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                  {
                    "reference": "urn:uuid:01ccb499-b32b-41d6-9781-e2bd189be9b3"
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                  {
                    "reference": "urn:uuid:b03266f1-4013-4856-83bd-344ca62fa990"
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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>07-JAN-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Serum or Plasma</td><td>98.1</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Serum or Plasma</td><td>14.6</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>142.7</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Serum or Plasma</td><td>5.2</td><td>3.5 - 5.3</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Serum or Plasma</td><td>104.1</td><td>98 - 107</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td><td>26.0</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>2.9 L</strong></td><td>4.5 - 6.4</td><td>%</td></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>98.1</td><td>70 - 140</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>14.6</td><td>7 - 25</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>1.6 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>142.7</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td><strong>5.2 H</strong></td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>104.1</td><td>98 - 108</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>26.0</td><td>22 - 32</td><td>mmol/L</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              },
              {
                "code": {
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                      "code": "$18729-4",
                      "system": "http://loinc.org",
                      "display": "Urinalysis studies (set)"
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                  "text": "Urinalysis"
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                "entry": [
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                    "reference": "urn:uuid:11034b2f-f558-4b98-9c20-432add0e9da1"
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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>07-JAN-2021</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>1.4 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>3.9</td><td>0 - 4</td><td>mg/dL</td></tr><tr><td>Specific gravity of Urine by Test strip</td><td><strong>1.0 L</strong></td><td>1.01 - 1.03</td><td>{nominal}</td></tr><tr><td>pH of Urine by Test strip</td><td>5.8</td><td>4.5 - 7.5</td><td>pH</td></tr><tr><td>Protein [Mass/volume] in Urine by Test strip</td><td><strong>176.1 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": {
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                      "code": "$LP7846-1",
                      "system": "http://loinc.org",
                      "display": "Specimen information"
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                  "text": "Specimen information"
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                    "reference": "urn:uuid:d5e06748-b9a9-496a-9f52-bca8d1dbc4bf"
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                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Specimen information</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>07-JAN-2021</th><th>Specimen</th><th></th></tr></thead><tbody><tr><td>Appearance of Urine</td><td>Cloudy urine</td><td>Urine</td><td></td></tr><tr><td>Odor of Urine</td><td>Urine smell ammoniacal</td><td>Urine</td><td></td></tr><tr><td>Clarity of Urine</td><td>Translucent</td><td>Urine</td><td></td></tr><tr><td>Color of Urine</td><td>Brown color</td><td>Urine</td><td></td></tr></tbody></table></div>"
                },
                "title": "Specimen information"
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            ],
            "title": "Laboratory Report"
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          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Annotation</h3><table class=\"hl7__eu__lab__report\"><tr><th>Conclusion and Recommendations based on this report and previous findings known to us</th></tr><tr><td>The patient shows mildly elevated creatinine, suggesting possible renal impairment, and proteinuria, which may indicate glomerular involvement. Urine is dilute (low specific gravity) and abnormal in appearance, with glucosuria and ketonuria, but HbA1c is low, making diabetes unlikely. Mild hyperkalemia is present. No evidence of urinary infection. Recommend further evaluation of renal function and possible causes of proteinuria and glucosuria.</td></tr></table></div>"
            },
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                  "code": "48767-8",
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:ad41f5d8-588f-4761-b94f-e30883615046",
          "display": "Pelayo Casal"
        },
        "date": "2021-01-07T06:38:59Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
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          {
            "reference": "urn:uuid:2fb3a047-eae6-4881-97a9-0ecee67cfae3"
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          {
            "reference": "urn:uuid:444757ea-d85a-4bc1-929a-22d49d1f7352"
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          {
            "reference": "urn:uuid:01ccb499-b32b-41d6-9781-e2bd189be9b3"
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          {
            "reference": "urn:uuid:b03266f1-4013-4856-83bd-344ca62fa990"
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        ],
        "status": "registered",
        "code": {
          "coding": [
            {
              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:ad41f5d8-588f-4761-b94f-e30883615046",
          "display": "Pelayo Casal"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ad41f5d8-588f-4761-b94f-e30883615046",
      "resource": {
        "resourceType": "Patient",
        "id": "ad41f5d8-588f-4761-b94f-e30883615046",
        "meta": {
          "security": [
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              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
          ]
        },
        "identifier": [
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            "type": {
              "coding": [
                {
                  "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"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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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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            "family": "Casal"
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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"
          }
        ],
        "extension": [
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            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality",
            "valueCodeableConcept": {
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                {
                  "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",
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          "value": 104.1,
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        "valueQuantity": {
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          ],
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              "display": "Clarity of Urine"
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          ],
          "text": "Clarity of Urine"
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              "display": "Glucose [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Glucose [Mass/volume] in Urine by Test strip"
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        "valueQuantity": {
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          "value": 1.4,
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              "display": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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          ],
          "text": "Bilirubin.total [Mass/volume] in Urine by Test strip"
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              "display": "Bilirubin.total [Presence] in Urine by Test strip"
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          ],
          "text": "Bilirubin.total [Presence] in Urine by Test strip"
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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": "Ketones [Presence] in Urine by Test strip"
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      }
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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"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 1,
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              "value": 1.01,
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              "value": 1.03,
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          "coding": [
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              "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": 5.8,
          "unit": "pH",
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              "value": 7.5,
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              "system": "http://unitsofmeasure.org"
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          "coding": [
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              "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": 176.1,
          "unit": "mg/dL",
          "code": "mg/dL"
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        "referenceRange": [
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            "low": {
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              "system": "http://unitsofmeasure.org"
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          },
          {
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        ],
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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"
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          ],
          "text": "Protein [Presence] in Urine by Test strip"
        },
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        },
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        "code": {
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              "code": "5802-4",
              "system": "http://loinc.org",
              "display": "Nitrite [Presence] in Urine by Test strip"
            }
          ],
          "text": "Nitrite [Presence] in Urine by Test strip"
        },
        "text": {
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        },
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        "code": {
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              "code": "5794-3",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Presence] in Urine by Test strip"
            }
          ],
          "text": "Hemoglobin [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>07-Jan-2021</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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          "display": "Pelayo Casal"
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        "effectiveDateTime": "2021-01-07T05:38:59Z",
        "specimen": {
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      "fullUrl": "urn:uuid:b6331a9c-f0cf-4509-a7bd-f9dc1a02cefa",
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        "id": "b6331a9c-f0cf-4509-a7bd-f9dc1a02cefa",
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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>07-Jan-2021</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:ad41f5d8-588f-4761-b94f-e30883615046",
          "display": "Pelayo Casal"
        },
        "effectiveDateTime": "2021-01-07T05:38:59Z",
        "specimen": {
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    },
    {
      "fullUrl": "urn:uuid:b63c1029-2f30-4dba-8172-e5d9ba5a212d",
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        "id": "b63c1029-2f30-4dba-8172-e5d9ba5a212d",
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        },
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        ],
        "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": 2.9,
          "unit": "%",
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        },
        "referenceRange": [
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            "low": {
              "value": 4.5,
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              "system": "http://unitsofmeasure.org"
            }
          },
          {
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              "value": 6.4,
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              "system": "http://unitsofmeasure.org"
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                "display": "Low"
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            ]
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>07-Jan-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood</td><td>2.9</td><td>4.5 - 6.4</td><td>L</td><td>%</td></tr></table></div>"
        },
        "status": "final",
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      "fullUrl": "urn:uuid:a3bc29d3-c77e-4dcf-aeef-f96008dc425e",
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        ],
        "code": {
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              "code": "2339-0",
              "system": "http://loinc.org",
              "display": "Glucose [Mass/volume] in Blood"
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          ],
          "text": "Glucose [Mass/volume] in Blood"
        },
        "valueQuantity": {
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          "value": 98.1,
          "unit": "mg/dL",
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        "referenceRange": [
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          },
          {
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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>07-Jan-2021</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Glucose [Mass/volume] in Blood</td><td>98.1</td><td>70 - 140</td><td></td><td>mg/dL</td></tr></table></div>"
        },
        "status": "final",
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    },
    {
      "fullUrl": "urn:uuid:c73e5fcf-705d-4428-819e-a0e7ed2a4c6f",
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        ],
        "code": {
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              "code": "6299-2",
              "system": "http://loinc.org",
              "display": "Urea nitrogen [Mass/volume] in Blood"
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          ],
          "text": "Urea nitrogen [Mass/volume] in Blood"
        },
        "valueQuantity": {
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          "value": 14.6,
          "unit": "mg/dL",
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        },
        "referenceRange": [
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            }
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        ],
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        },
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        ],
        "code": {
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              "system": "http://loinc.org",
              "display": "Creatinine [Mass/volume] in Blood"
            }
          ],
          "text": "Creatinine [Mass/volume] in Blood"
        },
        "valueQuantity": {
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          "value": 1.6,
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              "display": "Calcium [Mass/volume] in Blood"
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          "text": "Calcium [Mass/volume] in Blood"
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        "valueQuantity": {
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              "display": "Sodium [Moles/volume] in Blood"
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          "text": "Sodium [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 142.7,
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        "code": {
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              "system": "http://loinc.org",
              "display": "Potassium [Moles/volume] in Blood"
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          ],
          "text": "Potassium [Moles/volume] in Blood"
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        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 5.2,
          "unit": "mmol/L",
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          {
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        "effectiveDateTime": "2021-01-07T05:38:59Z",
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              "code": "2069-3",
              "system": "http://loinc.org",
              "display": "Chloride [Moles/volume] in Blood"
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          ],
          "text": "Chloride [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 104.1,
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              "display": "Carbon dioxide, total [Moles/volume] in Blood"
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          "text": "Carbon dioxide, total [Moles/volume] in Blood"
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        "valueQuantity": {
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          "value": 26,
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        "reason": [
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        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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        "meta": {
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 9459b30b-7d76-4f07-a61a-4a16b3572449</div>"
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        "practitioner": {
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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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  "type": "document",
  "timestamp": "2021-01-07T06:38:59Z"
}