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               <display value="Patrizio Berrè"/>
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            <date value="2024-08-01T10:11:48Z"/>
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            <title value="Laboratory Report"/>
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               <title value="Laboratory Report"/>
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                  <title value="Hematology"/>
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                        <h3>Hematology</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>01-AUG-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Leukocytes [#/volume] in Blood by Automated count</td>
                                 <td>7.1</td>
                                 <td>4.5 - 11.0</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                                 <td>4.9</td>
                                 <td>4.3 - 5.7</td>
                                 <td>10*6/uL</td>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>12.8 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>50.0</td>
                                 <td>39 - 50</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
                                 <td>83.4</td>
                                 <td>80 - 100</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>MCH [Entitic mass] by Automated count</td>
                                 <td>27.7</td>
                                 <td>27 - 33</td>
                                 <td>pg</td>
                              </tr>
                              <tr>
                                 <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td>
                                 <td>34.1</td>
                                 <td>32 - 36</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocyte [DistWidth] in Blood by Automated count</td>
                                 <td>
                                    <strong>15.2 H</strong>
                                 </td>
                                 <td>11.5 - 14.5</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Platelets [#/volume] in Blood by Automated count</td>
                                 <td>354.7</td>
                                 <td>150 - 450</td>
                                 <td>10*3/uL</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
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                  <title value="Chemistry"/>
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                        <display value="Chemistry studies (set)"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>01-AUG-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>98.1</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>18.5</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.5 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>9.0</td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>136.8</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>3.8</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>108.6 H</strong>
                                 </td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>22.5</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Serum or Plasma</td>
                                 <td>8.0</td>
                                 <td>6.6 - 8.3</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Albumin [Mass/volume] in Serum or Plasma</td>
                                 <td>4.2</td>
                                 <td>3.5 - 5.5</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>6.3 H</strong>
                                 </td>
                                 <td>0.1 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>66.2</td>
                                 <td>30 - 120</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>6.3 L</strong>
                                 </td>
                                 <td>10 - 40</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>9.9 L</strong>
                                 </td>
                                 <td>10 - 40</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Magnesium [Mass/volume] in Serum or Plasma</td>
                                 <td>2.3</td>
                                 <td>1.6 - 2.6</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Phosphate [Mass/volume] in Serum or Plasma</td>
                                 <td>3.9</td>
                                 <td>2.5 - 4.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>pH of Arterial blood</td>
                                 <td>
                                    <strong>7.0 L</strong>
                                 </td>
                                 <td>7.35 - 7.45</td>
                                 <td>[pH]</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide [Partial pressure] in Arterial blood</td>
                                 <td>43.6</td>
                                 <td>35 - 45</td>
                                 <td>mm[Hg]</td>
                              </tr>
                              <tr>
                                 <td>Oxygen [Partial pressure] in Arterial blood</td>
                                 <td>92.5</td>
                                 <td>80 - 100</td>
                                 <td>mm[Hg]</td>
                              </tr>
                              <tr>
                                 <td>Bicarbonate [Moles/volume] in Arterial blood</td>
                                 <td>26.9</td>
                                 <td>22 - 28</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Oxygen saturation in Arterial blood</td>
                                 <td>97.0</td>
                                 <td>95 - 100</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>160.6</td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>138.6</td>
                                 <td>0 - 150</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td>
                                 <td>80.3</td>
                                 <td>0 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td>
                                 <td>52.5</td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                           </tbody>
                        </table>
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                  <title value="Coagulation"/>
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                        <display value="Coagulation studies (set)"/>
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                        <h3>Coagulation</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>01-AUG-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Prothrombin time (PT)</td>
                                 <td>11.1</td>
                                 <td>11.0 - 13.5</td>
                                 <td>s</td>
                              </tr>
                              <tr>
                                 <td>INR in Platelet poor plasma by Coagulation assay</td>
                                 <td>
                                    <strong>0.8 L</strong>
                                 </td>
                                 <td>0.9 - 1.1</td>
                                 <td>{INR}</td>
                              </tr>
                              <tr>
                                 <td>aPTT in Blood by Coagulation assay</td>
                                 <td>
                                    <strong>35.5 H</strong>
                                 </td>
                                 <td>24 - 32</td>
                                 <td>s</td>
                              </tr>
                           </tbody>
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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 normocytic anemia (low hemoglobin), increased red cell distribution width, and elevated creatinine, suggesting chronic kidney disease. There is marked hyperbilirubinemia with low transaminases, which may indicate non-hepatocellular jaundice (e.g., hemolysis or cholestasis). Metabolic acidosis is present (low arterial pH), with a prolonged aPTT and low INR. Electrolytes, glucose, and lipid profile are within normal limits. Further clinical correlation and additional workup are recommended.</td>
                        </tr>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
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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">
                     <tr>
                        <td>Patrizio Berrè</td>
                        <td>male</td>
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               </div>
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            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
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                        <system value="urn:iso:std:iso:3166"/>
                        <code value="IT"/>
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                  </valueCodeableConcept>
               </extension>
            </extension>
            <identifier>
               <type>
                  <coding>
                     <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="3822-672758-4"/>
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            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <system value="http://local.setting.eu/identifier"/>
               <value value="4a342475-0774-e48e-ea0e-23e156676372"/>
            </identifier>
            <name>
               <text value="Patrizio Berrè"/>
               <family value="Berrè"/>
               <given value="Patrizio"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+39 0362156842"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1949-02-21"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Via Bossi, 62"/>
               <city value="Fanzolo"/>
               <postalCode value="31040"/>
               <country value="Italy"/>
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         </Patient>
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               <status value="empty"/>
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            <status value="active"/>
            <intent value="order"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            </code>
            <subject>
               <reference value="urn:uuid:c8d7dcdd-fcf3-4dd5-8536-9479638b144d"/>
               <display value="Patrizio Berrè"/>
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            <requester>
               <reference value="urn:uuid:7288e205-b986-400c-9c6c-01ba2e883892"/>
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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>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="55822004"/>
                  <display value="Hyperlipidemia"/>
               </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="59621000"/>
                  <display value="Essential hypertension"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:2457603b-b002-4b61-a97d-0b47c9738593"/>
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            <specimen>
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            <specimen>
               <reference value="urn:uuid:f2d20266-cd38-401c-b3ca-b9278e407939"/>
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            <specimen>
               <reference value="urn:uuid:b1934cfd-3ed2-4868-ad59-32d9602fc6c3"/>
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         <PractitionerRole>
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            <meta>
               <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: 7288e205-b986-400c-9c6c-01ba2e883892</div>
            </text>
            <organization>
               <reference value="urn:uuid:7371f65c-5162-4f48-84b4-04ff55358f3e"/>
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         </PractitionerRole>
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            <id value="7371f65c-5162-4f48-84b4-04ff55358f3e"/>
            <meta>
               <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: Ospedale Vecchio di Montebelluna</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="99fb4a8b-c93a-418f-93ec-8346bfaa563d"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Ospedale Vecchio di Montebelluna"/>
            <address>
               <line value="Via Sant'Andrea nan"/>
               <city value="Montebelluna"/>
               <postalCode value="31044"/>
               <country value="Italy"/>
            </address>
         </Organization>
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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">01-Aug-2024</span>
                        </td>
                     </tr>
                  </table>
               </div>
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                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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               <collectedDateTime value="2024-08-01"/>
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                        <th>Collection Date</th>
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                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">01-Aug-2024</span>
                        </td>
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                  </table>
               </div>
            </text>
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                  <system value="http://snomed.info/sct"/>
                  <code value="122592007"/>
                  <display value="Acellular blood (serum or plasma) specimen"/>
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               <collectedDateTime value="2024-08-01"/>
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                        <th>Specimen</th>
                        <th>Collection Date</th>
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                     <tr>
                        <td>Platelet poor plasma specimen</td>
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                           <span class="nb">01-Aug-2024</span>
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                  <system value="http://snomed.info/sct"/>
                  <code value="119362004"/>
                  <display value="Platelet poor plasma specimen"/>
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               <collectedDateTime value="2024-08-01"/>
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                        <th>Collection Date</th>
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                        <td>Arterial blood specimen</td>
                        <td>
                           <span class="nb">01-Aug-2024</span>
                        </td>
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                  <system value="http://snomed.info/sct"/>
                  <code value="122552005"/>
                  <display value="Arterial blood specimen"/>
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               <collectedDateTime value="2024-08-01"/>
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                        <th>Test</th>
                        <th>01-Aug-2024</th>
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                        <th>Unit</th>
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                     <tr>
                        <td>Leukocytes [#/volume] in Blood by Automated count</td>
                        <td>7.1</td>
                        <td>4.5 - 11.0</td>
                        <td/>
                        <td>10*3/uL</td>
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               <coding>
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                  <code value="6690-2"/>
                  <display value="Leukocytes [#/volume] in Blood by Automated count"/>
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               <text value="Leukocytes [#/volume] in Blood by Automated count"/>
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               <display value="Patrizio Berrè"/>
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               <display value="The Central European Lab"/>
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                  <value value="11"/>
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                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                        <td>4.9</td>
                        <td>4.3 - 5.7</td>
                        <td/>
                        <td>10*6/uL</td>
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               <coding>
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                  <code value="789-8"/>
                  <display value="Erythrocytes [#/volume] in Blood by Automated count"/>
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               <text value="Erythrocytes [#/volume] in Blood by Automated count"/>
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            <subject>
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               <display value="Patrizio Berrè"/>
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               <display value="The Central European Lab"/>
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               <code value="10*6/uL"/>
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            <specimen>
               <reference value="urn:uuid:2457603b-b002-4b61-a97d-0b47c9738593"/>
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                  <value value="4.3"/>
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               <high>
                  <value value="5.7"/>
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                  <code value="10*6/uL"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>01-Aug-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Hemoglobin [Mass/volume] in Blood</td>
                        <td>12.8</td>
                        <td>13.5 - 17.5</td>
                        <td>L</td>
                        <td>g/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="718-7"/>
                  <display value="Hemoglobin [Mass/volume] in Blood"/>
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               <text value="Hemoglobin [Mass/volume] in Blood"/>
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            <subject>
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               <display value="Patrizio Berrè"/>
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            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="12.8"/>
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               <code value="g/dL"/>
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            <interpretation>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="L"/>
                  <display value="Low"/>
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            <specimen>
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                        <th>01-Aug-2024</th>
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                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
                        <td>9.0</td>
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                        <td>mg/dL</td>
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                        <td>108.6</td>
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