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               <display value="Atenulf Sorrentino"/>
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            <date value="2019-01-13T11:42:19Z"/>
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            <title value="Laboratory Report"/>
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               <title value="Laboratory Report"/>
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                  <title value="Chemistry"/>
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                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>13-JAN-2019</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>91.9</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>19.7</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>3.4 H</strong>
                                 </td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>10.1</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>143.6</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.5</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>106.8</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>20.3 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>6.0 L</strong>
                                 </td>
                                 <td>6.6 - 8.3</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Albumin [Mass/volume] in Serum or Plasma</td>
                                 <td>5.5</td>
                                 <td>3.5 - 5.5</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Globulin [Mass/volume] in Serum by calculation</td>
                                 <td>
                                    <strong>3.3 L</strong>
                                 </td>
                                 <td>25 - 35</td>
                                 <td>g/L</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Serum or Plasma</td>
                                 <td>1.1</td>
                                 <td>0.1 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>101.6</td>
                                 <td>30 - 120</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>37.6</td>
                                 <td>10 - 40</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>32.4</td>
                                 <td>10 - 40</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                           </tbody>
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                  <title value="Urinalysis"/>
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                     <status value="generated"/>
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                        <h3>Urinalysis</h3>
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                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>13-JAN-2019</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
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                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>1.3 H</strong>
                                 </td>
                                 <td>0 - 0</td>
                                 <td>mg/dL</td>
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                              <tr>
                                 <td>Glucose [Presence] in Urine by Test strip</td>
                                 <td>Urine glucose test = ++</td>
                                 <td/>
                                 <td/>
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                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Urine by Test strip</td>
                                 <td>0.8</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>11.2 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>6.8</td>
                                 <td>5.5 - 7.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>377.7 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>
                           </tbody>
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                        <h3>Specimen information</h3>
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                                 <th>Test</th>
                                 <th>13-JAN-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/>
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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 markedly elevated serum creatinine, low total CO₂, low serum protein and globulin, and significant proteinuria, glycosuria, and ketonuria. Urine is brown, cloudy, with low specific gravity. These findings suggest acute or chronic renal dysfunction, likely with nephrotic-range proteinuria, and possible metabolic derangement (e.g., diabetic ketoacidosis). Immediate clinical evaluation and nephrology consultation are recommended.</td>
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            <result>
               <reference value="urn:uuid:62a0cad6-ef0b-4ba2-b367-1109ebd10009"/>
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         <Patient>
            <id value="4ce5226c-78fd-4e36-ac1e-44d3265d0141"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
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               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
               </tag>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Atenulf Sorrentino</td>
                        <td>male</td>
                        <td>29-Aug-1965</td>
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                  </table>
               </div>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
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                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="IT"/>
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                  </valueCodeableConcept>
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            </extension>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="5852-163953-2"/>
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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="952535d8-ee60-c1a3-3648-121dcc401078"/>
            </identifier>
            <name>
               <text value="Atenulf Sorrentino"/>
               <family value="Sorrentino"/>
               <given value="Atenulf"/>
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            <telecom>
               <system value="phone"/>
               <value value="3438458994"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1965-08-29"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Incrocio Passalacqua, 412"/>
               <city value="Domusnovas Canales"/>
               <postalCode value="09010"/>
               <country value="Italy"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/>
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               <value value="44fd8887-4556-41ff-9727-4e0579281cfb"/>
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            <status value="active"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            <subject>
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               <display value="Atenulf Sorrentino"/>
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               <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="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="237602007"/>
                  <display value="Metabolic syndrome X"/>
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            </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="59621000"/>
                  <display value="Essential hypertension"/>
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            <specimen>
               <reference value="urn:uuid:ab093cbd-83af-4797-b150-f86f42d1332e"/>
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            <specimen>
               <reference value="urn:uuid:7a7d10ff-43b1-4850-b295-00db7e53716a"/>
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         <PractitionerRole>
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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: 83fa76a4-0b47-4591-a7df-f25ad83259fc</div>
            </text>
            <organization>
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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: Azienda Sanitaria Locale n° 7 Musei</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="cd1a5c8f-39ab-4b8e-a4ec-bbe7c53461b4"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Azienda Sanitaria Locale n° 7 Musei"/>
            <address>
               <line value="Piazza IV Novembre nan"/>
               <country value="Italy"/>
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         </Organization>
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      <fullUrl value="urn:uuid:7cc05a48-7c3e-49c9-92e6-d0756f80efd2"/>
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         <Specimen>
            <id value="7cc05a48-7c3e-49c9-92e6-d0756f80efd2"/>
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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>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">13-Jan-2019</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="2019-01-13"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
                        <th>Collection Date</th>
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                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">13-Jan-2019</span>
                        </td>
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                  </table>
               </div>
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                  <system value="http://snomed.info/sct"/>
                  <code value="122592007"/>
                  <display value="Acellular blood (serum or plasma) specimen"/>
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            <collection>
               <collectedDateTime value="2019-01-13"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Collection Date</th>
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                     <tr>
                        <td>Serum specimen</td>
                        <td>
                           <span class="nb">13-Jan-2019</span>
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                  <system value="http://snomed.info/sct"/>
                  <code value="119364003"/>
                  <display value="Serum specimen"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Collection Date</th>
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                        <td>Urine specimen</td>
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                           <span class="nb">13-Jan-2019</span>
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                  <display value="Urine specimen"/>
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         <Observation>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>13-Jan-2019</th>
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                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>91.9</td>
                        <td>70 - 100</td>
                        <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>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2339-0"/>
                  <display value="Glucose [Mass/volume] in Blood"/>
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               <text value="Glucose [Mass/volume] in Blood"/>
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               <display value="Atenulf Sorrentino"/>
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            <effectiveDateTime value="2019-01-13T10:42:19Z"/>
            <performer>
               <display value="The Central European Lab"/>
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                        <th>13-Jan-2019</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>19.7</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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                  <code value="6299-2"/>
                  <display value="Urea nitrogen [Mass/volume] in Blood"/>
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               <text value="Urea nitrogen [Mass/volume] in Blood"/>
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                        <td>Creatinine [Mass/volume] in Blood</td>
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                        <td>0.6 - 1.3</td>
                        <td>H</td>
                        <td>mg/dL</td>
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                  <table class="hl7__eu__lab__report">
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                        <td>Calcium [Mass/volume] in Blood</td>
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                        <td>mg/dL</td>
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            <status value="final"/>
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                  <code value="49765-1"/>
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               <text value="Calcium [Mass/volume] in Blood"/>
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               <display value="Atenulf Sorrentino"/>
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                        <td>143.6</td>
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                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.5</td>
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                        <td>Bilirubin.total [Mass/volume] in Serum or Plasma</td>
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            </address>
         </Practitioner>
      </resource>
   </entry>
</Bundle>