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               <title value="Laboratory Report"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>04-AUG-2019</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>68.6 L</strong>
                                 </td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>15.1</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>1.9 H</strong>
                                 </td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Serum or Plasma</td>
                                 <td>9.4</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>137.4</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>5.0</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>107.0</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>21.8 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
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                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test = +</td>
                                 <td/>
                                 <td/>
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                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>3.1 L</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>68.6 L</strong>
                                 </td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>15.1</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>1.9 H</strong>
                                 </td>
                                 <td>0.7 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.4</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>137.4</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>5.0</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>107.0</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>21.8 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
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                  <title value="Urinalysis"/>
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                        <h3>Urinalysis</h3>
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                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>04-AUG-2019</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
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                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>0.9 H</strong>
                                 </td>
                                 <td>0 - 0.8</td>
                                 <td>mg/dL</td>
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                              <tr>
                                 <td>Glucose [Presence] in Urine by Test strip</td>
                                 <td>Urine glucose test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>1.3 H</strong>
                                 </td>
                                 <td>0.0 - 0.4</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/>
                              </tr>
                              <tr>
                                 <td>Ketones [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>9.8 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>1.005 - 1.030</td>
                                 <td>{nominal}</td>
                              </tr>
                              <tr>
                                 <td>pH of Urine by Test strip</td>
                                 <td>5.9</td>
                                 <td>4.5 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>282.2 H</strong>
                                 </td>
                                 <td>0 - 20</td>
                                 <td>mg/dL</td>
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                              <tr>
                                 <td>Protein [Presence] in Urine by Test strip</td>
                                 <td>Urine protein test = ++</td>
                                 <td/>
                                 <td/>
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                              <tr>
                                 <td>Nitrite [Presence] in Urine by Test strip</td>
                                 <td>Urine nitrite negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Presence] in Urine by Test strip</td>
                                 <td>Urine blood test = negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
                                 <td>Urine leukocyte test negative</td>
                                 <td/>
                                 <td/>
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                                 <th>Test</th>
                                 <th>04-AUG-2019</th>
                                 <th>Specimen</th>
                                 <th/>
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                           <tbody>
                              <tr>
                                 <td>Appearance of Urine</td>
                                 <td>Cloudy urine</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Odor of Urine</td>
                                 <td>Urine smell ammoniacal</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Clarity of Urine</td>
                                 <td>Translucent</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Color of Urine</td>
                                 <td>Brown color</td>
                                 <td>Urine</td>
                                 <td/>
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                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows mild hypoglycemia, low HbA1c, elevated creatinine (suggesting impaired renal function), and mild metabolic acidosis. Urinalysis reveals proteinuria, glucosuria, ketonuria, bilirubinuria, low specific gravity, and abnormal urine appearance/color, indicating possible nephropathy and metabolic derangement. No evidence of urinary infection. Findings are suggestive of renal impairment with possible underlying diabetes and/or liver dysfunction; clinical correlation and further evaluation are recommended.</td>
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               <system value="http://local.setting.eu/identifier"/>
               <value value="12ef67e4-2698-90f4-7860-a5366805885f"/>
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               <text value="Yves Rémy"/>
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            <telecom>
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               <value value="+33 (0)1 53 38 28 55"/>
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            <gender value="male"/>
            <birthDate value="1948-05-16"/>
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               <use value="home"/>
               <type value="physical"/>
               <line value="rue de Turpin"/>
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               <postalCode value="06400"/>
               <country value="France"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="88805009"/>
                  <display value="Chronic congestive heart failure"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="431856006"/>
                  <display value="Chronic kidney disease stage 2"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="90781000119102"/>
                  <display value="Microalbuminuria due to type 2 diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="64859006"/>
                  <display value="Osteoporosis"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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            </reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="90560007"/>
                  <display value="Gout"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 3f72c426-5c10-49cb-a6de-cb6185e9271e</div>
            </text>
            <organization>
               <reference value="urn:uuid:4cfe1d3e-df2f-443e-8194-d8f0ac8b9a12"/>
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         <Organization>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Clinique du Méridien</div>
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            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="8f58c43f-809c-4eb5-a927-d4b4569becfc"/>
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                  <display value="HL7 Europe"/>
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            <name value="Clinique du Méridien"/>
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               <city value="Cannes"/>
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               <country value="France"/>
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         <Specimen>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
                        <th>Collection Date</th>
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                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">04-Aug-2019</span>
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               </div>
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                  <code value="122592007"/>
                  <display value="Acellular blood (serum or plasma) specimen"/>
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                        <td>Urine specimen</td>
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                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
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                  <code value="2345-7"/>
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               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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                        <th>04-Aug-2019</th>
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                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
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               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
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               <text value="Creatinine [Mass/volume] in Serum or Plasma"/>
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            <text>
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                  <table class="hl7__eu__lab__report">
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                        <th>04-Aug-2019</th>
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                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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                        <td>mg/dL</td>
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            </text>
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            <code>
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               <text value="Calcium [Mass/volume] in Serum or Plasma"/>
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                        <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
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                        <td>Calcium [Mass/volume] in Blood</td>
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</Bundle>