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               <display value="Geneviève Teixeira"/>
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            <date value="2016-08-30T10:43:12Z"/>
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               <reference value="urn:uuid:1c9c0510-c002-4ece-b07a-ab1068fe953e"/>
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            <title value="Laboratory Report"/>
            <confidentiality value="N"/>
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               <title value="Laboratory Report"/>
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                  <coding>
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                  <title value="Chemistry"/>
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                        <display value="Chemistry studies (set)"/>
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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>30-AUG-2016</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>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>74.9</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>19.3</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>0.8</td>
                                 <td>0.5 - 1.1</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>10.0</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>140.6</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>109.5</td>
                                 <td>98 - 110</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>22.7</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
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            </section>
            <section>
               <title value="Annotation comment"/>
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                     <display value="Annotation comment [Interpretation] Narrative"/>
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                     <h3>Annotation</h3>
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                        <tr>
                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The laboratory results show an elevated HbA1c (6.4%), indicating impaired glucose metabolism consistent with prediabetes or early diabetes, despite a normal fasting glucose. Renal function, electrolytes, and calcium are within normal limits. Recommend clinical correlation and consideration of further evaluation or intervention for glycemic control.</td>
                        </tr>
                     </table>
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               <display value="Geneviève Teixeira"/>
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         <Patient>
            <id value="bbacbc0a-6770-481c-9810-c04cf20206f2"/>
            <meta>
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               <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"/>
               </tag>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Geneviève Teixeira</td>
                        <td>female</td>
                        <td>10-May-1977</td>
                     </tr>
                  </table>
               </div>
            </text>
            <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="FR"/>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="5170-765314-6"/>
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                     <code value="MR"/>
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               <value value="89b74d63-0edb-7703-321d-c1e5766790da"/>
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            <name>
               <text value="Geneviève Teixeira"/>
               <family value="Teixeira"/>
               <given value="Geneviève"/>
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            <telecom>
               <system value="phone"/>
               <value value="+33 (0)5 67 38 09 90"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1977-05-10"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="863, boulevard de Bigot"/>
               <city value="Léger-sur-Robin"/>
               <postalCode value="03130"/>
               <country value="France"/>
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                  <code value="108252007"/>
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                  <code value="78275009"/>
                  <display value="Obstructive sleep apnea syndrome"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="39898005"/>
                  <display value="Sleep disorder"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="203082005"/>
                  <display value="Fibromyalgia"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="197927001"/>
                  <display value="Recurrent urinary tract infection"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
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            </reasonCode>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: f797cf00-8f4c-412d-87b2-6b3e18b063d2</div>
            </text>
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            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Centre Médico-psychologique</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="8bf14796-a0f0-4c13-8ea3-2f33b9a691d8"/>
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                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Centre Médico-psychologique"/>
            <address>
               <city value="Roanne"/>
               <postalCode value="42300"/>
               <country value="France"/>
            </address>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">30-Aug-2016</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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                        <th>Test</th>
                        <th>30-Aug-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>6.4</td>
                        <td>4.0 - 5.6</td>
                        <td>H</td>
                        <td>%</td>
                     </tr>
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               </div>
            </text>
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                        <th>30-Aug-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
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                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
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               <text value="Glucose [Mass/volume] in Blood"/>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
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                        <td>Calcium [Mass/volume] in Blood</td>
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