<confidentiality value="N"/> <section> <title value="Laboratory Report"/> <code> <coding> <system value="http://loinc.org"/> <code value="26436-6"/> <display value="Laboratory studies (set)"/> </coding> <text value="Laboratory studies"/> </code> <section> <title value="Hematology"/> <code> <coding> <system value="http://loinc.org"/> <code value="18723-7"/> <display value="Hematology studies (set)"/> </coding> <text value="Hematology"/> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h3>Hematology</h3> <table class="hl7__eu__lab__report"> <thead> <tr> <th>Test</th> <th>11-MAR-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Hemoglobin [Mass/volume] in Blood</td> <td> <strong>11.6 L</strong> </td> <td>13.5 - 17.5</td> <td>g/dL</td> </tr> <tr> <td>Hematocrit [Volume Fraction] of Blood by calculation</td> <td> <strong>31.9 L</strong> </td> <td>39 - 50</td> <td>%</td> </tr> <tr> <td>Leukocytes [#/volume] in Blood by Automated count</td> <td>6.8</td> <td>4.0 - 11.0</td> <td>10*3/uL</td> </tr> <tr> <td>Erythrocytes [#/volume] in Blood by Automated count</td> <td> <strong>4.2 L</strong> </td> <td>4.3 - 5.7</td> <td>10*6/uL</td> </tr> <tr> <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td> <td>91.7</td> <td>80 - 100</td> <td>fL</td> </tr> <tr> <td>MCH [Entitic mass] by Automated count</td> <td>27.8</td> <td>27 - 33</td> <td>pg</td> </tr> <tr> <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td> <td>35.7</td> <td>32 - 36</td> <td>g/dL</td> </tr> <tr> <td>Erythrocyte distribution width [Entitic volume] by Automated count</td> <td>45.7</td> <td>36 - 48</td> <td>fL</td> </tr> <tr> <td>Platelets [#/volume] in Blood by Automated count</td> <td>286.9</td> <td>150 - 450</td> <td>10*3/uL</td> </tr> <tr> <td>Platelet distribution width [Entitic volume] in Blood by Automated count</td> <td> <strong>155.4 H</strong> </td> <td>9.4 - 12.3</td> <td>fL</td> </tr> <tr> <td>Platelet [Entitic mean volume] in Blood by Automated count</td> <td>11.7</td> <td>7.2 - 12.2</td> <td>fL</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:29cb7e93-c1d2-4f3c-8b05-f1472b74fb07"/> </entry> <entry> <reference value="urn:uuid:467c8b13-a732-4947-8e05-aa0ab353c0fb"/> </entry> <entry> <reference value="urn:uuid:e979d853-9cc1-4424-b039-249ea3237368"/> </entry> <entry> <reference value="urn:uuid:a2d415fb-ff45-49e3-ba28-f38f10e6667a"/> </entry> <entry> <reference value="urn:uuid:9a12bd43-7f4b-43aa-9cbb-cab036279f4d"/> </entry> <entry> <reference value="urn:uuid:78f4734e-f8f4-460e-9451-1f6f2fdb4f15"/> </entry> <entry> <reference value="urn:uuid:f002c583-6c95-4dfe-8bdf-fb9577f4e39c"/> </entry> <entry> <reference value="urn:uuid:da20aa1a-10dc-4a6e-bee9-fa599da3ad1b"/> </entry> <entry> <reference value="urn:uuid:5b77ed22-5a23-4aca-8a25-dc4a7cff0840"/> </entry> <entry> <reference value="urn:uuid:d1f7c137-f4d8-44c2-9ad2-359310e4e203"/> </entry> <entry> <reference value="urn:uuid:9ed6c59c-1168-49f6-8a2c-b6a824f3738e"/> </entry> </section> </section> <section> <title value="Annotation comment"/> <code> <coding> <system value="http://loinc.org"/> <code value="48767-8"/> <display value="Annotation comment [Interpretation] Narrative"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h3>Annotation</h3> <table class="hl7__eu__lab__report"> <tr> <th>Conclusion and Recommendations based on this report and previous findings known to us</th> </tr> <tr> <td>The patient shows mild normocytic, normochromic anemia (low hemoglobin, hematocrit, and erythrocyte count with normal MCV and MCH), suggesting possible chronic disease or early iron deficiency. Platelet count is normal, but platelet distribution width is elevated, which may indicate increased platelet size variability, possibly due to reactive changes. Further clinical correlation and investigation are recommended.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:5a2546d6-d2f2-4585-a754-9d3c63b882aa"/> <resource> <DiagnosticReport> <id value="5a2546d6-d2f2-4585-a754-9d3c63b882aa"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"/> </meta> <text> <status value="empty"/> <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div> </text> <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"> <valueReference> <reference value="urn:uuid:6d8dd66a-dc47-4b08-849c-15181dd25af5"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="101ab50a-c5a7-45cd-b8f2-36c6a0c469af"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="7a5cf68e-a39c-4a2b-88cd-6ec60e643553"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <status value="registered"/> <category> <coding> <system value="http://loinc.org"/> <code value="26436-6"/> <display value="Laboratory studies (set)"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="11502-2"/> <display value="Laboratory report"/> </coding> </code> <subject> <reference value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/> <display value="Danny Smith"/> </subject> <specimen> <reference value="urn:uuid:f947c7b7-047e-4124-85e0-3ae0440637af"/> </specimen> <result> <reference value="urn:uuid:29cb7e93-c1d2-4f3c-8b05-f1472b74fb07"/> </result> <result> <reference value="urn:uuid:467c8b13-a732-4947-8e05-aa0ab353c0fb"/> </result> <result> <reference value="urn:uuid:e979d853-9cc1-4424-b039-249ea3237368"/> </result> <result> <reference value="urn:uuid:a2d415fb-ff45-49e3-ba28-f38f10e6667a"/> </result> <result> <reference value="urn:uuid:9a12bd43-7f4b-43aa-9cbb-cab036279f4d"/> </result> <result> <reference value="urn:uuid:78f4734e-f8f4-460e-9451-1f6f2fdb4f15"/> </result> <result> <reference value="urn:uuid:f002c583-6c95-4dfe-8bdf-fb9577f4e39c"/> </result> <result> <reference value="urn:uuid:da20aa1a-10dc-4a6e-bee9-fa599da3ad1b"/> </result> <result> <reference value="urn:uuid:5b77ed22-5a23-4aca-8a25-dc4a7cff0840"/> </result> <result> <reference value="urn:uuid:d1f7c137-f4d8-44c2-9ad2-359310e4e203"/> </result> <result> <reference value="urn:uuid:9ed6c59c-1168-49f6-8a2c-b6a824f3738e"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/> <resource> <Patient> <id value="b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> </security> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TRAIN"/> </security> <tag> <system value="https://synderai.net/fhir/CodeSystem/tags"/> <code value="synthetic"/> <display value="SYNDERAI Synthetic data"/> </tag> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Danny Smith</td> <td>male</td> <td>24-Dec-1982</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality"> <extension url="code"> <valueCodeableConcept> <coding> <system value="urn:iso:std:iso:3166"/> <code value="GB"/> </coding> </valueCodeableConcept> </extension> </extension> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="JHN"/> </coding> </type> <system value="http://ec.europa.eu/identifier/eci"/> <value 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</meta> <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="7ad9c58b-b456-413b-b5f2-dca65ffb17a6"/> </identifier> <status value="active"/> <intent value="order"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="108252007"/> <display value="Laboratory procedure"/> </coding> </code> <subject> <reference value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/> <display value="Danny Smith"/> </subject> <requester> <reference value="urn:uuid:5a38b568-5342-40b6-ada4-f3fafe0e8bef"/> </requester> <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="78275009"/> <display value="Obstructive sleep apnea syndrome"/> </coding> </reasonCode> <reasonCode> <coding> <system 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value="urn:uuid:16976422-7515-48bc-8176-1081d9110cd8"/> <resource> <Organization> <id value="16976422-7515-48bc-8176-1081d9110cd8"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Evelina Children's Hospital</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="11368424-ac9a-461a-8daf-ab9e584ecd03"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Evelina Children's Hospital"/> <address> <city value="London"/> <postalCode value="SE1 7"/> <country value="United Kingdom"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:f947c7b7-047e-4124-85e0-3ae0440637af"/> <resource> <Specimen> <id value="f947c7b7-047e-4124-85e0-3ae0440637af"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/> </meta> <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>Whole blood specimen (specimen)</td> <td> <span class="nb">11-Mar-2017</span> </td> </tr> </table> </div> </text> <type> <coding> <system value="http://snomed.info/sct"/> <code value="258580003"/> <display value="Whole blood specimen (specimen)"/> </coding> </type> <collection> <collectedDateTime value="2017-03-11"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:29cb7e93-c1d2-4f3c-8b05-f1472b74fb07"/> <resource> <Observation> <id value="29cb7e93-c1d2-4f3c-8b05-f1472b74fb07"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>11-Mar-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hemoglobin [Mass/volume] in Blood</td> <td>11.6</td> <td>13.5 - 17.5</td> <td>L</td> <td>g/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="718-7"/> <display value="Hemoglobin [Mass/volume] in Blood"/> </coding> <text value="Hemoglobin [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2017-03-11T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="11.6"/> <unit value="g/dL"/> <system value="http://unitsofmeasure.org"/> <code value="g/dL"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="L"/> <display value="Low"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:f947c7b7-047e-4124-85e0-3ae0440637af"/> </specimen> <referenceRange> <low> <value value="13.5"/> <system value="http://unitsofmeasure.org"/> <code value="g/dL"/> </low> <high> <value value="17.5"/> <system value="http://unitsofmeasure.org"/> <code value="g/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:467c8b13-a732-4947-8e05-aa0ab353c0fb"/> <resource> <Observation> <id value="467c8b13-a732-4947-8e05-aa0ab353c0fb"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>11-Mar-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hematocrit [Volume Fraction] of Blood by calculation</td> <td>31.9</td> <td>39 - 50</td> <td>L</td> <td>%</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="20570-8"/> <display value="Hematocrit [Volume Fraction] of Blood by calculation"/> </coding> <text value="Hematocrit [Volume Fraction] of Blood by calculation"/> </code> <subject> <reference value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2017-03-11T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="31.9"/> <unit value="%"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="L"/> <display value="Low"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:f947c7b7-047e-4124-85e0-3ae0440637af"/> </specimen> <referenceRange> <low> <value value="39"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </low> <high> <value value="50"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:e979d853-9cc1-4424-b039-249ea3237368"/> <resource> <Observation> <id value="e979d853-9cc1-4424-b039-249ea3237368"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>11-Mar-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Leukocytes [#/volume] in Blood by Automated count</td> <td>6.8</td> <td>4.0 - 11.0</td> <td/> <td>10*3/uL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="6690-2"/> <display value="Leukocytes [#/volume] in Blood by Automated count"/> </coding> <text value="Leukocytes [#/volume] in Blood by Automated count"/> </code> <subject> <reference value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2017-03-11T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="6.8"/> <unit value="10*3/uL"/> <system value="http://unitsofmeasure.org"/> <code value="10*3/uL"/> </valueQuantity> <specimen> <reference value="urn:uuid:f947c7b7-047e-4124-85e0-3ae0440637af"/> </specimen> <referenceRange> <low> <value value="4"/> <system value="http://unitsofmeasure.org"/> <code value="10*3/uL"/> </low> <high> <value value="11"/> <system value="http://unitsofmeasure.org"/> <code value="10*3/uL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a2d415fb-ff45-49e3-ba28-f38f10e6667a"/> <resource> <Observation> <id value="a2d415fb-ff45-49e3-ba28-f38f10e6667a"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>11-Mar-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Erythrocytes [#/volume] in Blood by Automated count</td> <td>4.2</td> <td>4.3 - 5.7</td> <td>L</td> <td>10*6/uL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="789-8"/> <display 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value="10*6/uL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:9a12bd43-7f4b-43aa-9cbb-cab036279f4d"/> <resource> <Observation> <id value="9a12bd43-7f4b-43aa-9cbb-cab036279f4d"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>11-Mar-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td> <td>91.7</td> <td>80 - 100</td> <td/> <td>fL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="787-2"/> <display value="MCV [Entitic mean volume] in Red Blood 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value="78f4734e-f8f4-460e-9451-1f6f2fdb4f15"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>11-Mar-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>MCH [Entitic mass] by Automated count</td> <td>27.8</td> <td>27 - 33</td> <td/> <td>pg</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="785-6"/> <display value="MCH [Entitic mass] by Automated count"/> </coding> <text value="MCH [Entitic mass] by Automated count"/> </code> <subject> <reference value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/> <display value="Danny Smith"/> </subject> 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<th>Test</th> <th>11-Mar-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td> <td>35.7</td> <td>32 - 36</td> <td/> <td>g/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="786-4"/> <display value="MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count"/> </coding> <text value="MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count"/> </code> <subject> <reference value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2017-03-11T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="35.7"/> <unit value="g/dL"/> <system 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48</td> <td/> <td>fL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="21000-5"/> <display value="Erythrocyte distribution width [Entitic volume] by Automated count"/> </coding> <text value="Erythrocyte distribution width [Entitic volume] by Automated count"/> </code> <subject> <reference value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2017-03-11T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="45.7"/> <unit value="fL"/> <system value="http://unitsofmeasure.org"/> <code value="fL"/> </valueQuantity> <specimen> <reference value="urn:uuid:f947c7b7-047e-4124-85e0-3ae0440637af"/> </specimen> <referenceRange> <low> <value value="36"/> <system value="http://unitsofmeasure.org"/> <code value="fL"/> </low> <high> <value value="48"/> <system value="http://unitsofmeasure.org"/> <code value="fL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:5b77ed22-5a23-4aca-8a25-dc4a7cff0840"/> <resource> <Observation> <id value="5b77ed22-5a23-4aca-8a25-dc4a7cff0840"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>11-Mar-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Platelets [#/volume] in Blood by Automated count</td> <td>286.9</td> <td>150 - 450</td> <td/> <td>10*3/uL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> 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<fullUrl value="urn:uuid:9ed6c59c-1168-49f6-8a2c-b6a824f3738e"/> <resource> <Observation> <id value="9ed6c59c-1168-49f6-8a2c-b6a824f3738e"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>11-Mar-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Platelet [Entitic mean volume] in Blood by Automated count</td> <td>11.7</td> <td>7.2 - 12.2</td> <td/> <td>fL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="32623-1"/> <display value="Platelet [Entitic mean volume] in Blood by Automated count"/> </coding> <text value="Platelet [Entitic mean volume] in Blood by 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intentionally left empty / not meaningful


            
               
                  
                  
                  
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="26436-6"/>
                     <display value="Laboratory studies (set)"/>
                  </coding>
                  <text value="Laboratory studies"/>
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               <section>
                  <title value="Hematology"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18723-7"/>
                        <display value="Hematology studies (set)"/>
                     </coding>
                     <text value="Hematology"/>
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                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Hematology</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>11-MAR-2017</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>11.6 L</strong>
                                 </td>
                                 <td>13.5 - 17.5</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Hematocrit [Volume Fraction] of Blood by calculation</td>
                                 <td>
                                    <strong>31.9 L</strong>
                                 </td>
                                 <td>39 - 50</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Leukocytes [#/volume] in Blood by Automated count</td>
                                 <td>6.8</td>
                                 <td>4.0 - 11.0</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                                 <td>
                                    <strong>4.2 L</strong>
                                 </td>
                                 <td>4.3 - 5.7</td>
                                 <td>10*6/uL</td>
                              </tr>
                              <tr>
                                 <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
                                 <td>91.7</td>
                                 <td>80 - 100</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>MCH [Entitic mass] by Automated count</td>
                                 <td>27.8</td>
                                 <td>27 - 33</td>
                                 <td>pg</td>
                              </tr>
                              <tr>
                                 <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td>
                                 <td>35.7</td>
                                 <td>32 - 36</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocyte distribution width [Entitic volume] by Automated count</td>
                                 <td>45.7</td>
                                 <td>36 - 48</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>Platelets [#/volume] in Blood by Automated count</td>
                                 <td>286.9</td>
                                 <td>150 - 450</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Platelet distribution width [Entitic volume] in Blood by Automated count</td>
                                 <td>
                                    <strong>155.4 H</strong>
                                 </td>
                                 <td>9.4 - 12.3</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>Platelet [Entitic mean volume] in Blood by Automated count</td>
                                 <td>11.7</td>
                                 <td>7.2 - 12.2</td>
                                 <td>fL</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
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                  <entry>
                     <reference value="urn:uuid:da20aa1a-10dc-4a6e-bee9-fa599da3ad1b"/>
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                  <entry>
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                  <entry>
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                  <entry>
                     <reference value="urn:uuid:9ed6c59c-1168-49f6-8a2c-b6a824f3738e"/>
                  </entry>
               </section>
            </section>
            <section>
               <title value="Annotation comment"/>
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                     <code value="48767-8"/>
                     <display value="Annotation comment [Interpretation] Narrative"/>
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                     <h3>Annotation</h3>
                     <table class="hl7__eu__lab__report">
                        <tr>
                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows mild normocytic, normochromic anemia (low hemoglobin, hematocrit, and erythrocyte count with normal MCV and MCH), suggesting possible chronic disease or early iron deficiency. Platelet count is normal, but platelet distribution width is elevated, which may indicate increased platelet size variability, possibly due to reactive changes. Further clinical correlation and investigation are recommended.</td>
                        </tr>
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            <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition">
               <valueReference>
                  <reference value="urn:uuid:6d8dd66a-dc47-4b08-849c-15181dd25af5"/>
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                  <display value="HL7 Europe"/>
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            <status value="registered"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="11502-2"/>
                  <display value="Laboratory report"/>
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               <reference value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/>
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               <reference value="urn:uuid:78f4734e-f8f4-460e-9451-1f6f2fdb4f15"/>
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         <Patient>
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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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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Danny Smith</td>
                        <td>male</td>
                        <td>24-Dec-1982</td>
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                        <system value="urn:iso:std:iso:3166"/>
                        <code value="GB"/>
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            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               </type>
               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="7706-924408-3"/>
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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="c13f250a-7524-143f-bbe4-57245775ad3e"/>
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            <name>
               <text value="Danny Smith"/>
               <family value="Smith"/>
               <given value="Danny"/>
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            <telecom>
               <system value="phone"/>
               <value value="+44131 4960107"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1982-12-24"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Studio 6"/>
               <line value="Ford centers"/>
               <city value="London"/>
               <postalCode value="SW1A"/>
               <country value="United Kingdom"/>
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         </Patient>
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               <value value="7ad9c58b-b456-413b-b5f2-dca65ffb17a6"/>
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            <status value="active"/>
            <intent value="order"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            </code>
            <subject>
               <reference value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/>
               <display value="Danny Smith"/>
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            <requester>
               <reference value="urn:uuid:5a38b568-5342-40b6-ada4-f3fafe0e8bef"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78275009"/>
                  <display value="Obstructive sleep apnea syndrome"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="39898005"/>
                  <display value="Sleep disorder"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
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            </reasonCode>
            <specimen>
               <reference value="urn:uuid:f947c7b7-047e-4124-85e0-3ae0440637af"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 5a38b568-5342-40b6-ada4-f3fafe0e8bef</div>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Evelina Children's Hospital</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="11368424-ac9a-461a-8daf-ab9e584ecd03"/>
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                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Evelina Children's Hospital"/>
            <address>
               <city value="London"/>
               <postalCode value="SE1 7"/>
               <country value="United Kingdom"/>
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         </Organization>
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   <entry>
      <fullUrl value="urn:uuid:f947c7b7-047e-4124-85e0-3ae0440637af"/>
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         <Specimen>
            <id value="f947c7b7-047e-4124-85e0-3ae0440637af"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">11-Mar-2017</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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            <collection>
               <collectedDateTime value="2017-03-11"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>11-Mar-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin [Mass/volume] in Blood</td>
                        <td>11.6</td>
                        <td>13.5 - 17.5</td>
                        <td>L</td>
                        <td>g/dL</td>
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               </div>
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                  <code value="laboratory"/>
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               <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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               <reference value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/>
               <display value="Danny Smith"/>
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            <effectiveDateTime value="2017-03-11T17:08:38Z"/>
            <performer>
               <display value="The Central European Lab"/>
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               <value value="11.6"/>
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                  <code value="L"/>
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               <reference value="urn:uuid:f947c7b7-047e-4124-85e0-3ae0440637af"/>
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            <id value="467c8b13-a732-4947-8e05-aa0ab353c0fb"/>
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                        <th>Reference Range</th>
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                     <tr>
                        <td>Hematocrit [Volume Fraction] of Blood by calculation</td>
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                        <td>39 - 50</td>
                        <td>L</td>
                        <td>%</td>
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               </div>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="20570-8"/>
                  <display value="Hematocrit [Volume Fraction] of Blood by calculation"/>
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               <text value="Hematocrit [Volume Fraction] of Blood by calculation"/>
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               <display value="Danny Smith"/>
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            <performer>
               <display value="The Central European Lab"/>
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                  <code value="L"/>
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                  <value value="50"/>
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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>11-Mar-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Leukocytes [#/volume] in Blood by Automated count</td>
                        <td>6.8</td>
                        <td>4.0 - 11.0</td>
                        <td/>
                        <td>10*3/uL</td>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <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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            <subject>
               <reference value="urn:uuid:b7f8daec-f0ad-4fa8-844d-4aedeef4707e"/>
               <display value="Danny Smith"/>
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            <effectiveDateTime value="2017-03-11T17:08:38Z"/>
            <performer>
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            <specimen>
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                  <value value="4"/>
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               <high>
                  <value value="11"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>11-Mar-2017</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                        <td>4.2</td>
                        <td>4.3 - 5.7</td>
                        <td>L</td>
                        <td>10*6/uL</td>
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               <coding>
                  <system value="http://loinc.org"/>
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               <text value="Erythrocytes [#/volume] in Blood by Automated count"/>
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               <display value="Danny Smith"/>
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            <specimen>
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                  <value value="4.3"/>
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                  <value value="5.7"/>
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   <entry>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>11-Mar-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
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                        <td>80 - 100</td>
                        <td/>
                        <td>fL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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            <code>
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               <text value="MCV [Entitic mean volume] in Red Blood Cells by Automated count"/>
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