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   <timestamp value="2019-03-28T07:55:10Z"/>
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               <display value="Tom Hayward"/>
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            <date value="2019-03-28T07:55:10Z"/>
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               <reference value="urn:uuid:918484a1-d1ca-4ef9-89a0-2040dbe05904"/>
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            <title value="Laboratory Report"/>
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            <section>
               <title value="Laboratory Report"/>
               <code>
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                  <title value="Hematology"/>
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                        <display value="Hematology studies (set)"/>
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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>28-MAR-2019</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Leukocytes [#/volume] in Blood by Automated count</td>
                                 <td>4.2</td>
                                 <td>4.0 - 11.0</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                                 <td>4.8</td>
                                 <td>4.2 - 5.6</td>
                                 <td>10*6/uL</td>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Mass/volume] in Blood</td>
                                 <td>15.3</td>
                                 <td>13.5 - 17.5</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Hematocrit [Volume Fraction] of Blood by Automated count</td>
                                 <td>38.6</td>
                                 <td>37 - 49</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
                                 <td>92.3</td>
                                 <td>80 - 100</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>MCH [Entitic mass] by Automated count</td>
                                 <td>31.1</td>
                                 <td>27 - 33</td>
                                 <td>pg</td>
                              </tr>
                              <tr>
                                 <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td>
                                 <td>
                                    <strong>31.7 L</strong>
                                 </td>
                                 <td>32 - 36</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocyte [DistWidth] in Blood by Automated count</td>
                                 <td>15.3</td>
                                 <td>11.5 - 16.5</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Platelets [#/volume] in Blood by Automated count</td>
                                 <td>287.3</td>
                                 <td>150 - 450</td>
                                 <td>10*3/uL</td>
                              </tr>
                           </tbody>
                        </table>
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                     <reference value="urn:uuid:2a54d9e0-e5e8-4e7b-a68c-0f42f2273532"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:2867bfb5-e16d-4286-832d-23aded96a31f"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:6ac3e554-e966-43ce-b672-9bfe3e418c51"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:7334a2d1-991f-4afe-8ad1-48d0acf82e22"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:f75d3154-a9c3-4cce-b637-0c8f79b81499"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:aca9f633-2a47-4ac3-a07c-2051dd02125a"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:2ae4be59-35d0-4a22-bc31-b813ee0610df"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:0609ab5d-160c-4860-a4a1-a37a923ab1d5"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:64816dfe-2a30-483a-bd47-366578c02742"/>
                  </entry>
               </section>
               <section>
                  <title value="Chemistry"/>
                  <code>
                     <coding>
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                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
                     </coding>
                     <text value="Chemistry"/>
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                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>28-MAR-2019</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>66.8 L</strong>
                                 </td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>9.7</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.8 H</strong>
                                 </td>
                                 <td>0.6 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Serum or Plasma</td>
                                 <td>9.7</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>5.0</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>105.3</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>26.9</td>
                                 <td>22 - 32</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Serum or Plasma</td>
                                 <td>6.9</td>
                                 <td>6.0 - 8.3</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Albumin [Mass/volume] in Serum or Plasma</td>
                                 <td>4.9</td>
                                 <td>3.5 - 5.5</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>10.1 H</strong>
                                 </td>
                                 <td>0.3 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>112.4</td>
                                 <td>39 - 117</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>35.2</td>
                                 <td>10 - 40</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>21.0</td>
                                 <td>10 - 40</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Magnesium [Mass/volume] in Serum or Plasma</td>
                                 <td>2.0</td>
                                 <td>1.7 - 2.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Phosphate [Mass/volume] in Serum or Plasma</td>
                                 <td>4.0</td>
                                 <td>2.5 - 4.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>pH of Arterial blood</td>
                                 <td>
                                    <strong>6.9 L</strong>
                                 </td>
                                 <td>7.35 - 7.45</td>
                                 <td>[pH]</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide [Partial pressure] in Arterial blood</td>
                                 <td>35.9</td>
                                 <td>35 - 45</td>
                                 <td>mm[Hg]</td>
                              </tr>
                              <tr>
                                 <td>Oxygen [Partial pressure] in Arterial blood</td>
                                 <td>85.5</td>
                                 <td>75 - 100</td>
                                 <td>mm[Hg]</td>
                              </tr>
                              <tr>
                                 <td>Bicarbonate [Moles/volume] in Arterial blood</td>
                                 <td>25.4</td>
                                 <td>22 - 28</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Oxygen saturation in Arterial blood</td>
                                 <td>95.0</td>
                                 <td>95.0 - 100.0</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>216.1 H</strong>
                                 </td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>142.6</td>
                                 <td>0 - 150</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td>
                                 <td>
                                    <strong>132.9 H</strong>
                                 </td>
                                 <td>0 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td>
                                 <td>54.7</td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Troponin I.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method</td>
                                 <td>0.0</td>
                                 <td>0 - 34</td>
                                 <td>pg/mL</td>
                              </tr>
                              <tr>
                                 <td>Thyrotropin [Units/volume] in Serum or Plasma</td>
                                 <td>2.3</td>
                                 <td>0.4 - 4.0</td>
                                 <td>m[IU]/L</td>
                              </tr>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>3.3 L</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>
                                    <strong>1.0 H</strong>
                                 </td>
                                 <td>0 - 0</td>
                                 <td>{presence}</td>
                              </tr>
                           </tbody>
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                     <reference value="urn:uuid:8100e431-b15b-44be-8e5e-fc9ce652da56"/>
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                  <entry>
                     <reference value="urn:uuid:17725835-b1c4-41b7-b7b5-6a9757cecf08"/>
                  </entry>
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                     <reference value="urn:uuid:fd1a80f1-53f0-4e08-b6bf-6898439f2ed3"/>
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                  <entry>
                     <reference value="urn:uuid:5e154889-3ecd-4fdb-adfd-8aabd2b002c6"/>
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                     <reference value="urn:uuid:068a5f6d-5fd7-4255-a830-6d958e15d51f"/>
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                  <entry>
                     <reference value="urn:uuid:a846b99c-ce15-4fc0-89ff-1681ee74be6d"/>
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                  <entry>
                     <reference value="urn:uuid:18f4a24f-f312-4630-a268-44f7a4b8ba8c"/>
                  </entry>
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                  </entry>
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                  </entry>
                  <entry>
                     <reference value="urn:uuid:c29abda2-55d4-49ff-b0f9-fb5d135ae80b"/>
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               </section>
               <section>
                  <title value="Coagulation"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18720-3"/>
                        <display value="Coagulation studies (set)"/>
                     </coding>
                     <text value="Coagulation"/>
                  </code>
                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Coagulation</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>28-MAR-2019</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Prothrombin time (PT)</td>
                                 <td>
                                    <strong>9.1 L</strong>
                                 </td>
                                 <td>9.4 - 12.5</td>
                                 <td>s</td>
                              </tr>
                              <tr>
                                 <td>INR in Platelet poor plasma by Coagulation assay</td>
                                 <td>1.1</td>
                                 <td>0.9 - 1.1</td>
                                 <td>{INR}</td>
                              </tr>
                              <tr>
                                 <td>aPTT in Blood by Coagulation assay</td>
                                 <td>29.9</td>
                                 <td>25 - 35</td>
                                 <td>s</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
                  <entry>
                     <reference value="urn:uuid:32030842-d21d-4fca-b666-aa4a69ced638"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:f00eee6c-c82f-48ab-a363-13dda7f5fa30"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:8d9b6697-fc26-4f06-a2ca-3fb93ea58fc4"/>
                  </entry>
               </section>
               <section>
                  <title value="Urinalysis"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18729-4"/>
                        <display value="Urinalysis studies (set)"/>
                     </coding>
                     <text value="Urinalysis"/>
                  </code>
                  <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>28-MAR-2019</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Presence] in Urine by Test strip</td>
                                 <td>1.0</td>
                                 <td/>
                                 <td>{presence}</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Presence] in Urine by Test strip</td>
                                 <td>1.0</td>
                                 <td>0 - 1</td>
                                 <td>{presence}</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>{SG}</td>
                              </tr>
                              <tr>
                                 <td>pH of Urine by Test strip</td>
                                 <td>7.5</td>
                                 <td>4.5 - 8.0</td>
                                 <td>[pH]</td>
                              </tr>
                              <tr>
                                 <td>Protein [Presence] in Urine by Test strip</td>
                                 <td>1.0</td>
                                 <td/>
                                 <td>{presence}</td>
                              </tr>
                              <tr>
                                 <td>Nitrite [Presence] in Urine by Test strip</td>
                                 <td>1.0</td>
                                 <td/>
                                 <td>{presence}</td>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Presence] in Urine by Test strip</td>
                                 <td>0.0</td>
                                 <td/>
                                 <td>{presence}</td>
                              </tr>
                              <tr>
                                 <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
                                 <td>0.0</td>
                                 <td/>
                                 <td>{presence}</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
                  <entry>
                     <reference value="urn:uuid:29a76d99-c093-45a2-b063-e02a144037b6"/>
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                  <entry>
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                  </entry>
                  <entry>
                     <reference value="urn:uuid:48a85476-3575-460d-8c56-2991d953467f"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:bfec642a-33b6-46eb-bb52-8bc8a6423965"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:43994158-4619-4189-8e55-3342db967684"/>
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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 severe metabolic acidosis (arterial pH 6.9), markedly elevated creatinine (2.8 mg/dL), very high total bilirubin (10.1 mg/dL), and abnormal urine findings (protein, nitrite, ketones, glucose). These suggest acute kidney and liver dysfunction, possible sepsis, and metabolic decompensation. Immediate clinical evaluation and intervention are urgently recommended.</td>
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                        <td>Tom Hayward</td>
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                        <td>07-Apr-1975</td>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="3376-612163-7"/>
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            <identifier>
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               <text value="Tom Hayward"/>
               <family value="Hayward"/>
               <given value="Tom"/>
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            <telecom>
               <system value="phone"/>
               <value value="+44(0)808 1570544"/>
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            <gender value="male"/>
            <birthDate value="1975-04-07"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="391 Dean locks"/>
               <city value="Manchester"/>
               <postalCode value="M1"/>
               <country value="United Kingdom"/>
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                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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                  <code value="431857002"/>
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                  <code value="433144002"/>
                  <display value="Chronic kidney disease stage 3"/>
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                  <code value="157141000119108"/>
                  <display value="Proteinuria due to type 2 diabetes mellitus"/>
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                  <code value="414545008"/>
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                  <code value="431856006"/>
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                  <code value="90781000119102"/>
                  <display value="Microalbuminuria due to type 2 diabetes mellitus"/>
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                  <code value="80394007"/>
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                        <th>Collection Date</th>
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                        <td>Whole blood specimen (specimen)</td>
                        <td>
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                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
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