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            <title value="Laboratory Report"/>
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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>27-JUL-2023</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>67.3 L</strong>
                                 </td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>16.9</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.4 H</strong>
                                 </td>
                                 <td>0.6 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Serum or Plasma</td>
                                 <td>9.5</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>141.3</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>4.3</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>106.3</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>21.2 L</strong>
                                 </td>
                                 <td>22 - 32</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>3.3 L</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                           </tbody>
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               <section>
                  <title value="Urinalysis"/>
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                     <coding>
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                        <code value="18729-4"/>
                        <display value="Urinalysis studies (set)"/>
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                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Urinalysis</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>27-JUL-2023</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>1.8</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>0.8</td>
                                 <td>0 - 1</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>1.0</td>
                                 <td>0 - 20</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>368.3 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>
                           </tbody>
                        </table>
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                  <title value="Specimen information"/>
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                        <h3>Specimen information</h3>
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                              <tr>
                                 <th>Test</th>
                                 <th>27-JUL-2023</th>
                                 <th>Specimen</th>
                                 <th/>
                              </tr>
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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/>
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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 evidence of impaired renal function (elevated creatinine, marked proteinuria), hypoglycemia with low HbA1c, metabolic acidosis (low CO₂), and abnormal urine findings (cloudy, brown, low specific gravity, glucosuria, ketonuria, bilirubinuria). These findings suggest possible acute or chronic kidney disease with metabolic derangements; diabetic ketoacidosis is unlikely given low glucose/HbA1c. Further clinical correlation and nephrology evaluation are recommended.</td>
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                        <td>Tom Hayward</td>
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                        <td>07-Apr-1975</td>
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               <value value="+44(0)808 1570544"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1975-04-07"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="391 Dean locks"/>
               <city value="Manchester"/>
               <postalCode value="M1"/>
               <country value="United Kingdom"/>
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         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:71638fba-89a5-4e3d-b558-4c364694ecad"/>
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         <ServiceRequest>
            <id value="71638fba-89a5-4e3d-b558-4c364694ecad"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/>
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            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
            </text>
            <identifier>
               <system value="http://example.org"/>
               <value value="c9436f1d-2419-4c67-9a11-b41e58fd71c0"/>
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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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            <subject>
               <reference value="urn:uuid:445f8858-22d4-4965-a134-557478316455"/>
               <display value="Tom Hayward"/>
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            <requester>
               <reference value="urn:uuid:939179a5-dff8-4aa2-9aa1-95365e822051"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431857002"/>
                  <display value="Chronic kidney disease stage 4"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="433144002"/>
                  <display value="Chronic kidney disease stage 3"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="157141000119108"/>
                  <display value="Proteinuria due to type 2 diabetes mellitus"/>
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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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            </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="431856006"/>
                  <display value="Chronic kidney disease stage 2"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="90781000119102"/>
                  <display value="Microalbuminuria due to type 2 diabetes mellitus"/>
               </coding>
            </reasonCode>
            <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>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1551000119108"/>
                  <display value="Nonproliferative retinopathy due to type 2 diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="422034002"/>
                  <display value="Retinopathy due to type 2 diabetes mellitus"/>
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            </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="80394007"/>
                  <display value="Hyperglycemia"/>
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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>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="302870006"/>
                  <display value="Hypertriglyceridemia"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="44054006"/>
                  <display value="Type 2 diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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            </reasonCode>
            <specimen>
               <reference value="urn:uuid:36d72b02-1fa3-4db4-8b3e-e40ab8482386"/>
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            <specimen>
               <reference value="urn:uuid:1ac068ef-3de0-4208-a8d7-798a4804768e"/>
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            <specimen>
               <reference value="urn:uuid:16e11efb-1386-442d-a112-f876a152cb84"/>
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   <entry>
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         <PractitionerRole>
            <id value="939179a5-dff8-4aa2-9aa1-95365e822051"/>
            <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: 939179a5-dff8-4aa2-9aa1-95365e822051</div>
            </text>
            <organization>
               <reference value="urn:uuid:30abc572-2734-4583-b34d-7608e1ea7cfe"/>
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   <entry>
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         <Organization>
            <id value="30abc572-2734-4583-b34d-7608e1ea7cfe"/>
            <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: Cornbrook Medical Practice</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="a87029cb-8ac6-45a1-add2-a9578e6b2522"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Cornbrook Medical Practice"/>
            <address>
               <line value="City Road 204"/>
               <city value="Manchester"/>
               <postalCode value="M3 3"/>
               <country value="United Kingdom"/>
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         </Organization>
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   <entry>
      <fullUrl value="urn:uuid:36d72b02-1fa3-4db4-8b3e-e40ab8482386"/>
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         <Specimen>
            <id value="36d72b02-1fa3-4db4-8b3e-e40ab8482386"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">27-Jul-2023</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="122592007"/>
                  <display value="Acellular blood (serum or plasma) specimen"/>
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            </type>
            <collection>
               <collectedDateTime value="2023-07-27"/>
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   <entry>
      <fullUrl value="urn:uuid:1ac068ef-3de0-4208-a8d7-798a4804768e"/>
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         <Specimen>
            <id value="1ac068ef-3de0-4208-a8d7-798a4804768e"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Specimen</th>
                        <th>Collection Date</th>
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                     <tr>
                        <td>Urine specimen</td>
                        <td>
                           <span class="nb">27-Jul-2023</span>
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                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="122575003"/>
                  <display value="Urine specimen"/>
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            <collection>
               <collectedDateTime value="2023-07-27"/>
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   <entry>
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         <Specimen>
            <id value="16e11efb-1386-442d-a112-f876a152cb84"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Specimen</th>
                        <th>Collection Date</th>
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                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">27-Jul-2023</span>
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                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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            <collection>
               <collectedDateTime value="2023-07-27"/>
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   <entry>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>27-Jul-2023</th>
                        <th>Reference Range</th>
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                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
                        <td>67.3</td>
                        <td>70 - 100</td>
                        <td>L</td>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2345-7"/>
                  <display value="Glucose [Mass/volume] in Serum or Plasma"/>
               </coding>
               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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            <subject>
               <reference value="urn:uuid:445f8858-22d4-4965-a134-557478316455"/>
               <display value="Tom Hayward"/>
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            <effectiveDateTime value="2023-07-27T06:17:44Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="67.3"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="L"/>
                  <display value="Low"/>
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            <specimen>
               <reference value="urn:uuid:36d72b02-1fa3-4db4-8b3e-e40ab8482386"/>
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                  <value value="70"/>
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                  <code value="mg/dL"/>
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                  <value value="100"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>27-Jul-2023</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                        <td>16.9</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="3094-0"/>
                  <display value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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            <subject>
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               <display value="Tom Hayward"/>
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            <effectiveDateTime value="2023-07-27T06:17:44Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="16.9"/>
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               <code value="mg/dL"/>
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            <specimen>
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               <low>
                  <value value="7"/>
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                  <code value="mg/dL"/>
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               <high>
                  <value value="20"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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   <entry>
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         <Observation>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>27-Jul-2023</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                        <td>2.4</td>
                        <td>0.6 - 1.2</td>
                        <td>H</td>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
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                  <system value="http://loinc.org"/>
                  <code value="2160-0"/>
                  <display value="Creatinine [Mass/volume] in Serum or Plasma"/>
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               <text value="Creatinine [Mass/volume] in Serum or Plasma"/>
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               <display value="Tom Hayward"/>
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            <effectiveDateTime value="2023-07-27T06:17:44Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="2.4"/>
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               <code value="mg/dL"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="H"/>
                  <display value="High"/>
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            <specimen>
               <reference value="urn:uuid:36d72b02-1fa3-4db4-8b3e-e40ab8482386"/>
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               <low>
                  <value value="0.6"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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               <high>
                  <value value="1.2"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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   <entry>
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         <Observation>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>27-Jul-2023</th>
                        <th>Reference Range</th>
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                     </tr>
                     <tr>
                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
                        <td>9.5</td>
                        <td>8.5 - 10.5</td>
                        <td/>
                        <td>mg/dL</td>
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               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="17861-6"/>
                  <display value="Calcium [Mass/volume] in Serum or Plasma"/>
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               <text value="Calcium [Mass/volume] in Serum or Plasma"/>
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            <subject>
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               <display value="Tom Hayward"/>
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            <performer>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>27-Jul-2023</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Sodium [Moles/volume] in Serum or Plasma</td>
                        <td>141.3</td>
                        <td>135 - 145</td>
                        <td/>
                        <td>mmol/L</td>
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            </text>
            <status value="final"/>
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            <code>
               <coding>
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                  <code value="2951-2"/>
                  <display value="Sodium [Moles/volume] in Serum or Plasma"/>
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               <text value="Sodium [Moles/volume] in Serum or Plasma"/>
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                  <value value="145"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
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   <entry>
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</Bundle>