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            <subject>
               <reference value="urn:uuid:45a64ae4-9262-4b82-b17d-db2ffaa9da2d"/>
               <display value="Atenulf Sorrentino"/>
            </subject>
            <date value="2021-08-26T01:54:24Z"/>
            <author>
               <reference value="urn:uuid:f5cfa130-4ec3-4d39-9da0-045e0d549af3"/>
            </author>
            <title value="Laboratory Report"/>
            <confidentiality value="N"/>
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               <title value="Laboratory Report"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="26436-6"/>
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               <section>
                  <title value="Hematology"/>
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                     <coding>
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                        <display value="Hematology studies (set)"/>
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                        <h3>Hematology</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>26-AUG-2021</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Leukocytes [#/volume] in Blood by Automated count</td>
                                 <td>10.0</td>
                                 <td>4.0 - 11.0</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                                 <td>5.1</td>
                                 <td>4.3 - 5.7</td>
                                 <td>10*6/uL</td>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>12.9 L</strong>
                                 </td>
                                 <td>13.5 - 17.5</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Hematocrit [Volume Fraction] of Blood by Automated count</td>
                                 <td>45.6</td>
                                 <td>37 - 49</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
                                 <td>92.9</td>
                                 <td>80 - 100</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>MCH [Entitic mass] by Automated count</td>
                                 <td>28.7</td>
                                 <td>27 - 33</td>
                                 <td>pg</td>
                              </tr>
                              <tr>
                                 <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td>
                                 <td>33.1</td>
                                 <td>32 - 36</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocyte distribution width [Entitic volume] by Automated count</td>
                                 <td>44.1</td>
                                 <td>36 - 48</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>Platelets [#/volume] in Blood by Automated count</td>
                                 <td>321.1</td>
                                 <td>150 - 450</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Platelet distribution width [Entitic volume] in Blood by Automated count</td>
                                 <td>
                                    <strong>203.6 H</strong>
                                 </td>
                                 <td>9.4 - 12.3</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>Platelet [Entitic mean volume] in Blood by Automated count</td>
                                 <td>11.0</td>
                                 <td>7.2 - 11.5</td>
                                 <td>fL</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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                     <reference value="urn:uuid:ba93c862-9eb4-429b-aafd-06d32510f3b7"/>
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               </section>
               <section>
                  <title value="Chemistry"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
                     </coding>
                     <text value="Chemistry"/>
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                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>26-AUG-2021</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>64.3 L</strong>
                                 </td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>9.0</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>25.6 H</strong>
                                 </td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.5</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>138.3</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>103.5</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>21.7 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
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            <section>
               <title value="Annotation comment"/>
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                     <system value="http://loinc.org"/>
                     <code value="48767-8"/>
                     <display value="Annotation comment [Interpretation] Narrative"/>
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                     <h3>Annotation</h3>
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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 severe renal dysfunction (markedly elevated creatinine), mild hypoglycemia, mild anemia, low total CO₂ (suggesting possible metabolic acidosis), and increased platelet distribution width. Immediate clinical evaluation is recommended, especially for renal failure and metabolic derangements.</td>
                        </tr>
                     </table>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
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                  <code value="TRAIN"/>
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               <status value="generated"/>
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                  <table class="hl7__ips">
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                        <td>Atenulf Sorrentino</td>
                        <td>male</td>
                        <td>29-Aug-1965</td>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
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               <value value="5852-163953-2"/>
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               <value value="3438458994"/>
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            <gender value="male"/>
            <birthDate value="1965-08-29"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Incrocio Passalacqua, 412"/>
               <city value="Domusnovas Canales"/>
               <postalCode value="09010"/>
               <country value="Italy"/>
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            <status value="active"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="157141000119108"/>
                  <display value="Proteinuria due to type 2 diabetes mellitus"/>
               </coding>
            </reasonCode>
            <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>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
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                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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               <status value="generated"/>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Azienda Sanitaria Locale n° 7 Musei</div>
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               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
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            <name value="Azienda Sanitaria Locale n° 7 Musei"/>
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               <line value="Piazza IV Novembre nan"/>
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                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
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               <collectedDateTime value="2021-08-25"/>
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                        <th>26-Aug-2021</th>
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                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>64.3</td>
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               <text value="Glucose [Mass/volume] in Blood"/>
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               <display value="Atenulf Sorrentino"/>
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                        <th>26-Aug-2021</th>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>9.0</td>
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                        <td>mg/dL</td>
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               <text value="Urea nitrogen [Mass/volume] in Blood"/>
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                        <td>Creatinine [Mass/volume] in Blood</td>
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                        <td>Calcium [Mass/volume] in Blood</td>
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               <text value="Calcium [Mass/volume] in Blood"/>
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                        <td>3.9</td>
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                        <td>103.5</td>
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                        <th>26-Aug-2021</th>
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