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               <display value="Ahmed Wirth"/>
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            <date value="2017-08-27T01:37:39Z"/>
            <author>
               <reference value="urn:uuid:5f6534a6-43f5-46af-a508-d19d8470947d"/>
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            <title value="Laboratory Report"/>
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               <title value="Laboratory Report"/>
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                  <text>
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                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>27-AUG-2017</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.4 H</strong>
                                 </td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>89.9</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>17.5</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>0.9</td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>8.7</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>143.4</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.3</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>104.5</td>
                                 <td>98 - 110</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>27.9</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
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                  <entry>
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            </section>
            <section>
               <title value="Annotation comment"/>
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                     <code value="48767-8"/>
                     <display value="Annotation comment [Interpretation] Narrative"/>
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                     <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>All laboratory values are within normal limits except for a mildly elevated HbA1c (6.4%), indicating impaired glucose tolerance or possible early diabetes. Renal function, electrolytes, and calcium are normal. Recommend clinical follow-up for glycemic control and diabetes risk assessment.</td>
                        </tr>
                     </table>
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               <display value="Ahmed Wirth"/>
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         <Patient>
            <id value="32392915-a40e-43d8-8091-1966c5dcea89"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
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               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
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            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Ahmed Wirth</td>
                        <td>male</td>
                        <td>02-Oct-1948</td>
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            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
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                        <system value="urn:iso:std:iso:3166"/>
                        <code value="DE"/>
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               <value value="5523-465959-1"/>
            </identifier>
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               <type>
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               <text value="Ahmed Wirth"/>
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               <given value="Ahmed"/>
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            <telecom>
               <system value="phone"/>
               <value value="06478333493"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1948-10-02"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Faruk-Zobel-Weg 7090"/>
               <city value="Kronach"/>
               <postalCode value="96317"/>
               <country value="Germany"/>
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                  <code value="108252007"/>
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                  <display value="Disorder of kidney due to diabetes mellitus"/>
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            <reasonCode>
               <coding>
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                  <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"/>
               </coding>
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            <reasonCode>
               <coding>
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                  <code value="55822004"/>
                  <display value="Hyperlipidemia"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: edc9d400-1365-472e-8871-7ac065d12a93</div>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Medizinisches Versorgungszentrum Kronach</div>
            </text>
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               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
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               <country value="Germany"/>
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                        <th>Specimen</th>
                        <th>Collection Date</th>
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                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">26-Aug-2017</span>
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               </div>
            </text>
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                        <th>27-Aug-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>6.4</td>
                        <td>4.8 - 5.9</td>
                        <td>H</td>
                        <td>%</td>
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                        <th>27-Aug-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>89.9</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2339-0"/>
                  <display value="Glucose [Mass/volume] in Blood"/>
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               <text value="Glucose [Mass/volume] in Blood"/>
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               <display value="Ahmed Wirth"/>
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                        <th>Test</th>
                        <th>27-Aug-2017</th>
                        <th>Reference Range</th>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>17.5</td>
                        <td>7 - 20</td>
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                        <td>mg/dL</td>
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                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>0.9</td>
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                  <code value="38483-4"/>
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               <text value="Creatinine [Mass/volume] in Blood"/>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>8.7</td>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="49765-1"/>
                  <display value="Calcium [Mass/volume] in Blood"/>
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               <text value="Calcium [Mass/volume] in Blood"/>
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                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.3</td>
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                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>104.5</td>
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                        <td>Carbon dioxide, total [Moles/volume] in Blood</td>
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               <text value="Carbon dioxide, total [Moles/volume] in Blood"/>
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               <reference value="urn:uuid:434e49b6-2646-4dd5-900a-1ca463d3e4ed"/>
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                  <code value="CREATE"/>
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