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               <display value="Elaine Green"/>
            </subject>
            <date value="2021-11-25T16:27:18Z"/>
            <author>
               <reference value="urn:uuid:dca87795-13ce-4848-be06-6c256075713c"/>
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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>25-NOV-2021</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.2 H</strong>
                                 </td>
                                 <td>4.8 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>85.6</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>16.1</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>10.1</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>136.3</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>102.0</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>25.5</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>232.1 H</strong>
                                 </td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>102.1</td>
                                 <td>0 - 149</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td>
                                 <td>
                                    <strong>163.2 H</strong>
                                 </td>
                                 <td>0 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td>
                                 <td>48.5</td>
                                 <td>40 - 90</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Microalbumin/Creatinine [Mass Ratio] in Urine</td>
                                 <td>16.2</td>
                                 <td>0 - 30</td>
                                 <td>mg/g</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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                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows elevated HbA1c, indicating suboptimal long-term glycemic control, and increased total and LDL cholesterol, suggesting heightened cardiovascular risk. Renal function, electrolytes, and urine microalbumin/creatinine ratio are within normal limits. Continued monitoring and management of dyslipidemia and glycemic control are recommended.</td>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
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                  <code value="TRAIN"/>
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                  <code value="synthetic"/>
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            <text>
               <status value="generated"/>
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                  <table class="hl7__ips">
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                        <td>Elaine Green</td>
                        <td>female</td>
                        <td>05-Aug-1942</td>
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                        <code value="GB"/>
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                     <code value="JHN"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="9467-500577-4"/>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <value value="c433235c-1136-ad56-17ad-198ccaf426de"/>
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               <text value="Elaine Green"/>
               <family value="Green"/>
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            <telecom>
               <system value="phone"/>
               <value value="+44(0)114 4960474"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1942-08-05"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Studio 30N"/>
               <line value="Maurice lakes"/>
               <city value="East Georginastad"/>
               <postalCode value="M1"/>
               <country value="United Kingdom"/>
            </address>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
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               <reference value="urn:uuid:7c95a57c-dbd0-403b-8325-b73022ea7a8d"/>
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                  <code value="97331000119101"/>
                  <display value="Macular edema and retinopathy due to type 2 diabetes mellitus"/>
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                  <code value="59621000"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="1551000119108"/>
                  <display value="Nonproliferative retinopathy due to type 2 diabetes mellitus"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="64859006"/>
                  <display value="Osteoporosis"/>
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                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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                  <display value="Hypertriglyceridemia"/>
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                  <display value="Neuropathy due to type 2 diabetes mellitus"/>
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                  <display value="Metabolic syndrome X"/>
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                  <code value="55822004"/>
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                  <code value="91302008"/>
                  <display value="Sepsis"/>
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               <city value="Manchester"/>
               <postalCode value="M3 3"/>
               <country value="United Kingdom"/>
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                        <th>Collection Date</th>
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                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">25-Nov-2021</span>
                        </td>
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            <type>
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                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
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               <collectedDateTime value="2021-11-25"/>
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            <id value="abb8bc20-5b05-46b2-831f-a254ba40ddc3"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
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                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
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               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="122592007"/>
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               <collectedDateTime value="2021-11-25"/>
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                        <td>Urine specimen</td>
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                        <th>25-Nov-2021</th>
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                        <td>6.2</td>
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                     <tr>
                        <th>Test</th>
                        <th>25-Nov-2021</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>85.6</td>
                        <td>70 - 100</td>
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                        <td>mg/dL</td>
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               <text value="Glucose [Mass/volume] in Blood"/>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>16.1</td>
                        <td>7 - 20</td>
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                        <td>mg/dL</td>
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                  <code value="6299-2"/>
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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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               <text value="Creatinine [Mass/volume] in Blood"/>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>10.1</td>
                        <td>8.5 - 10.5</td>
                        <td/>
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                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>136.3</td>
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                        <td/>
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                        <td>3.9</td>
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                        <td>102.0</td>
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                        <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
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