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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>03-APR-2019</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>94.9</td>
                                 <td>70 - 140</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>9.3</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.0 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>9.2</td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>140.2</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>5.0</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>108.1 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>
                                    <strong>21.1 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test = +</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>2.8 L</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>94.9</td>
                                 <td>70 - 140</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>9.3</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>1.0</td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.2</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>140.2</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>5.0</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>108.1 H</strong>
                                 </td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>21.1 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
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                  <title value="Urinalysis"/>
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                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Urinalysis</h3>
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                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>03-APR-2019</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>0.9</td>
                                 <td>0 - 5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Presence] in Urine by Test strip</td>
                                 <td>Urine glucose test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Urine by Test strip</td>
                                 <td>1.3</td>
                                 <td>0 - 4</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Presence] in Urine by Test strip</td>
                                 <td>Finding of bilirubin in urine</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Ketones [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>18.3 H</strong>
                                 </td>
                                 <td>0 - 4</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Specific gravity of Urine by Test strip</td>
                                 <td>
                                    <strong>1.0 L</strong>
                                 </td>
                                 <td>1.005 - 1.030</td>
                                 <td>{nominal}</td>
                              </tr>
                              <tr>
                                 <td>pH of Urine by Test strip</td>
                                 <td>6.0</td>
                                 <td>5.0 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>267.7 H</strong>
                                 </td>
                                 <td>0 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Protein [Presence] in Urine by Test strip</td>
                                 <td>Urine protein test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Nitrite [Presence] in Urine by Test strip</td>
                                 <td>Urine nitrite negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Presence] in Urine by Test strip</td>
                                 <td>Urine blood test = negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
                                 <td>Urine leukocyte test negative</td>
                                 <td/>
                                 <td/>
                              </tr>
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                  <title value="Specimen information"/>
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                        <h3>Specimen information</h3>
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                                 <th>Test</th>
                                 <th>03-APR-2019</th>
                                 <th>Specimen</th>
                                 <th/>
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                           <tbody>
                              <tr>
                                 <td>Appearance of Urine</td>
                                 <td>Cloudy urine</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Odor of Urine</td>
                                 <td>Urine smell ammoniacal</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Clarity of Urine</td>
                                 <td>Translucent</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Color of Urine</td>
                                 <td>Brown color</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
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               <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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                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows elevated serum creatinine, proteinuria, ketonuria, and abnormal urine appearance, suggesting possible renal impairment and/or urinary tract pathology. Low HbA1c may indicate recent hypoglycemia or anemia. Mild metabolic acidosis is suggested by low CO₂. Electrolytes are mostly within range, but chloride is slightly elevated. Recommend further renal evaluation and clinical correlation for possible acute or chronic kidney disease.</td>
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                  <code value="HTEST"/>
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               <security>
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                  <code value="TRAIN"/>
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                        <td>Patricia Joubert</td>
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                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
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               <value value="7843-162355-8"/>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
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            <telecom>
               <system value="phone"/>
               <value value="0760047035"/>
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            <gender value="female"/>
            <birthDate value="1939-09-10"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="7, chemin Lenoir"/>
               <city value="Delahaye-la-Forêt"/>
               <postalCode value="50570"/>
               <country value="France"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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               <display value="Patricia Joubert"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="433144002"/>
                  <display value="Chronic kidney disease stage 3"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="157141000119108"/>
                  <display value="Proteinuria due to type 2 diabetes mellitus"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <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"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26929004"/>
                  <display value="Alzheimer's disease"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="401303003"/>
                  <display value="Acute ST segment elevation myocardial infarction"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
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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>
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                  <system value="http://snomed.info/sct"/>
                  <code value="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="79619009"/>
                  <display value="Mitral valve stenosis"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="55822004"/>
                  <display value="Hyperlipidemia"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
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            </reasonCode>
            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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            <specimen>
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               <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: acd46b76-ab4d-4225-b180-578f586d08bd</div>
            </text>
            <organization>
               <reference value="urn:uuid:95a41c4d-6571-4c81-a07f-5b658d27abce"/>
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            <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: Maison Médical</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="54342d57-73f8-4dd3-8bca-d8d9dee54b26"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Maison Médical"/>
            <address>
               <country value="France"/>
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         </Organization>
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               <status value="generated"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">03-Apr-2019</span>
                        </td>
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                  </table>
               </div>
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                  <code value="122592007"/>
                  <display value="Acellular blood (serum or plasma) specimen"/>
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               <collectedDateTime value="2019-04-03"/>
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                        <th>Collection Date</th>
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                        <td>Urine specimen</td>
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                  <display value="Urine specimen"/>
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                        <th>Test</th>
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                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
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                        <td>70 - 140</td>
                        <td/>
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                  <code value="laboratory"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2345-7"/>
                  <display value="Glucose [Mass/volume] in Serum or Plasma"/>
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               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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               <display value="Patricia Joubert"/>
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                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
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                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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                  <code value="3094-0"/>
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               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
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                        <td>0.6 - 1.3</td>
                        <td>H</td>
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            </text>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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                  <code value="2160-0"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>03-Apr-2019</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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                        <td>8.6 - 10.3</td>
                        <td/>
                        <td>mg/dL</td>
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               </div>
            </text>
            <status value="final"/>
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            <code>
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                  <code value="17861-6"/>
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               <text value="Calcium [Mass/volume] in Serum or Plasma"/>
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                        <th>03-Apr-2019</th>
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                        <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
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                        <td>Glucose [Mass/volume] in Blood</td>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
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                        <td>Chloride [Moles/volume] in Blood</td>
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</Bundle>