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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>24-MAY-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>72.6</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>14.7</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.0 H</strong>
                                 </td>
                                 <td>0.5 - 1.1</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Serum or Plasma</td>
                                 <td>8.9</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>143.6</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>4.8</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>101.2</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>23.5</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test = +</td>
                                 <td/>
                                 <td/>
                              </tr>
                           </tbody>
                        </table>
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               <section>
                  <title value="Urinalysis"/>
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                     <coding>
                        <system value="http://loinc.org"/>
                        <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>24-MAY-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>2.0</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 - 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>16.0</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>5.8</td>
                                 <td>5.0 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>300.4 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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               <section>
                  <title value="Specimen information"/>
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                        <system value="http://loinc.org"/>
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                        <display value="Specimen information"/>
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                        <h3>Specimen information</h3>
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                                 <th>Test</th>
                                 <th>24-MAY-2024</th>
                                 <th>Specimen</th>
                                 <th/>
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                           <tbody>
                              <tr>
                                 <td>Appearance of Urine</td>
                                 <td>Cloudy urine</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Odor of Urine</td>
                                 <td>Urine smell ammoniacal</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Clarity of Urine</td>
                                 <td>Translucent</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Color of Urine</td>
                                 <td>Brown color</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
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                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows elevated serum creatinine, indicating impaired renal function. Urinalysis reveals significant proteinuria, glucosuria, low specific gravity, and mild ketonuria, with no evidence of infection (negative nitrites/leukocytes). These findings suggest possible diabetic nephropathy or another form of chronic kidney disease. Further nephrological evaluation and assessment of glycemic control are recommended.</td>
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                        <td>Ιορδανία Δουλάμη</td>
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                        <td>07-Jul-1976</td>
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            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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               <value value="8786cfe3-938c-476e-82eb-8958ec6d3390"/>
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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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            </code>
            <subject>
               <reference value="urn:uuid:5015f13c-5845-4110-a4e0-7b5d44d451db"/>
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               <reference value="urn:uuid:0d2d98f5-1d04-4317-852b-bd54db9f4541"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="68496003"/>
                  <display value="Polyp of colon"/>
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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"/>
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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="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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            </reasonCode>
            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="78275009"/>
                  <display value="Obstructive sleep apnea syndrome"/>
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            </reasonCode>
            <reasonCode>
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                  <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="1254812006"/>
                  <display value="Substance dependence"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="197927001"/>
                  <display value="Recurrent urinary tract infection"/>
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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>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="124171000119105"/>
                  <display value="Chronic intractable migraine without aura"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="196416002"/>
                  <display value="Impacted molars"/>
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            </reasonCode>
            <specimen>
               <reference value="urn:uuid:78f3e7e4-76ee-44be-8239-ce18f2d67629"/>
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            <specimen>
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   <entry>
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         <PractitionerRole>
            <id value="0d2d98f5-1d04-4317-852b-bd54db9f4541"/>
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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: 0d2d98f5-1d04-4317-852b-bd54db9f4541</div>
            </text>
            <organization>
               <reference value="urn:uuid:32d45616-beba-42a4-b4bb-31ed2b7522d2"/>
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   <entry>
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         <Organization>
            <id value="32d45616-beba-42a4-b4bb-31ed2b7522d2"/>
            <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: Dr. Aggeliki Papadopoulos</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="3fc70d23-196f-4386-9acc-2af54e262f81"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Dr. Aggeliki Papadopoulos"/>
            <address>
               <line value="130 Odós Mitropoleos"/>
               <city value="Zakynthos"/>
               <postalCode value="291 00"/>
               <country value="Greece"/>
            </address>
         </Organization>
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   <entry>
      <fullUrl value="urn:uuid:78f3e7e4-76ee-44be-8239-ce18f2d67629"/>
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         <Specimen>
            <id value="78f3e7e4-76ee-44be-8239-ce18f2d67629"/>
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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>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">24-May-2024</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="2024-05-24"/>
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         </Specimen>
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   <entry>
      <fullUrl value="urn:uuid:5c46c6cd-1bef-4dbd-a777-b6d1f6f54548"/>
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         <Specimen>
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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>Urine specimen</td>
                        <td>
                           <span class="nb">24-May-2024</span>
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                  </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="2024-05-24"/>
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   <entry>
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         <Observation>
            <id value="122df728-cb58-4663-97e4-a815c81aa232"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-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>Test</th>
                        <th>24-May-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
                        <td>72.6</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="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:5015f13c-5845-4110-a4e0-7b5d44d451db"/>
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            <effectiveDateTime value="2024-05-24T03:51:34Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="72.6"/>
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               <code value="mg/dL"/>
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                  <value value="100"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>24-May-2024</th>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                        <td>14.7</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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                  <code value="laboratory"/>
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            <code>
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                  <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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                  <table class="hl7__eu__lab__report">
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                     <tr>
                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                        <td>2.0</td>
                        <td>0.5 - 1.1</td>
                        <td>H</td>
                        <td>mg/dL</td>
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            </text>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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               <text value="Creatinine [Mass/volume] in Serum or Plasma"/>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>24-May-2024</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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                        <td>8.5 - 10.5</td>
                        <td/>
                        <td>mg/dL</td>
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                  <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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                  <table class="hl7__eu__lab__report">
                     <tr>
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                        <th>24-May-2024</th>
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                     <tr>
                        <td>Sodium [Moles/volume] in Serum or Plasma</td>
                        <td>143.6</td>
                        <td>135 - 145</td>
                        <td/>
                        <td>mmol/L</td>
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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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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>24-May-2024</th>
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                     <tr>
                        <td>Potassium [Moles/volume] in Serum or Plasma</td>
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                        <td>3.5 - 5.1</td>
                        <td/>
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            </text>
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            <code>
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                  <code value="2823-3"/>
                  <display value="Potassium [Moles/volume] in Serum or Plasma"/>
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               <text value="Potassium [Moles/volume] in Serum or Plasma"/>
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            <subject>
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            <performer>
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            <valueQuantity>
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                  <value value="5.1"/>
                  <system value="http://unitsofmeasure.org"/>
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   <entry>
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      <fullUrl value="urn:uuid:8d94737b-1425-4e68-8e06-87cc81e114e5"/>
      <resource>
         <Practitioner>
            <id value="8d94737b-1425-4e68-8e06-87cc81e114e5"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="9e02fad4-3376-411e-a9c1-ae25cf12276b"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name>
               <family value="Ample"/>
               <given value="Ex"/>
               <prefix value="dr"/>
            </name>
            <address>
               <line value="Laboratoire Central Européenne"/>
               <line value="Boulevard du Jardin Botanique 32"/>
               <city value="Brussels"/>
               <postalCode value="1000"/>
               <country value="Belgium"/>
            </address>
         </Practitioner>
      </resource>
   </entry>
</Bundle>