<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>29-APR-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Leukocytes [#/volume] in Blood by Automated count</td> <td>8.3</td> <td>4.5 - 11.0</td> <td>10*3/uL</td> </tr> <tr> <td>Erythrocytes [#/volume] in Blood by Automated count</td> <td>5.0</td> <td>4.0 - 5.2</td> <td>10*6/uL</td> </tr> <tr> <td>Hemoglobin [Mass/volume] in Blood</td> <td> <strong>16.4 H</strong> </td> <td>12 - 16</td> <td>g/dL</td> </tr> <tr> <td>Hematocrit [Volume Fraction] of Blood by Automated count</td> <td>41.2</td> <td>36 - 46</td> <td>%</td> </tr> <tr> <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td> <td>89.2</td> <td>80 - 100</td> <td>fL</td> </tr> <tr> <td>MCH [Entitic mass] by Automated count</td> <td>31.3</td> <td>27 - 33</td> <td>pg</td> </tr> <tr> <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td> <td>34.8</td> <td>32 - 36</td> <td>g/dL</td> </tr> <tr> <td>Erythrocyte distribution width [Entitic volume] by Automated count</td> <td>41.3</td> <td>36 - 46</td> <td>fL</td> </tr> <tr> <td>Platelets [#/volume] in Blood by Automated count</td> <td>248.3</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>412.6 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>11.5</td> <td>7.2 - 11.5</td> <td>fL</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:8d49d874-7c0e-43d7-8c4a-14ac993e9b02"/> </entry> <entry> <reference value="urn:uuid:2af31e70-7288-4571-90d7-6db8173dc62c"/> </entry> <entry> <reference value="urn:uuid:36a9a282-10f3-46ee-9255-39638fa1e08a"/> </entry> <entry> <reference value="urn:uuid:a64efe06-b088-460c-8eb2-348eaa6e43c6"/> </entry> <entry> <reference value="urn:uuid:e1aa2e5b-80cf-4260-9956-50aef3a88c8d"/> </entry> <entry> <reference value="urn:uuid:ed7289a3-3d33-42cc-9e0f-e5a8c7686a65"/> </entry> <entry> <reference value="urn:uuid:2a409c4d-10b8-4a4e-928d-b156634de00c"/> </entry> <entry> <reference value="urn:uuid:6de9fbd5-d9e1-4337-9936-1bacdee98f99"/> </entry> <entry> <reference value="urn:uuid:c4bd4ce1-f87a-409b-88cf-a8e2a4c625ab"/> </entry> <entry> <reference value="urn:uuid:33cb86ac-edba-41d0-8dae-42a66f0be1de"/> </entry> <entry> <reference value="urn:uuid:f6d788bc-ccb0-4cb5-bc9b-0a4236fbe613"/> </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>All hematological parameters are within normal limits except for mildly elevated hemoglobin and markedly increased platelet distribution width. The elevated hemoglobin may reflect mild dehydration or individual variation; the high platelet distribution width suggests increased platelet size variability, which can be seen in reactive states but is nonspecific. No acute pathology evident; clinical correlation recommended.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:f309e58a-33f7-4e5e-8024-ee44021086e5"/> <resource> <DiagnosticReport> <id value="f309e58a-33f7-4e5e-8024-ee44021086e5"/> <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:39dce029-a8ca-412c-9558-a38c6e08d1eb"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="b50d7f99-9305-491b-932e-a94305d15e80"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="48f5f2a0-c78a-4ade-8fe5-03ea529c1b32"/> <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:35873325-b6c4-4766-878a-27585879ef17"/> <display value="María Manuela Meléndez"/> </subject> <specimen> <reference value="urn:uuid:01a4c756-3907-42d1-a5ec-f994bb24e020"/> </specimen> <result> <reference value="urn:uuid:8d49d874-7c0e-43d7-8c4a-14ac993e9b02"/> </result> <result> <reference value="urn:uuid:2af31e70-7288-4571-90d7-6db8173dc62c"/> </result> <result> <reference value="urn:uuid:36a9a282-10f3-46ee-9255-39638fa1e08a"/> </result> <result> <reference value="urn:uuid:a64efe06-b088-460c-8eb2-348eaa6e43c6"/> </result> <result> <reference value="urn:uuid:e1aa2e5b-80cf-4260-9956-50aef3a88c8d"/> </result> <result> <reference value="urn:uuid:ed7289a3-3d33-42cc-9e0f-e5a8c7686a65"/> </result> <result> <reference value="urn:uuid:2a409c4d-10b8-4a4e-928d-b156634de00c"/> </result> <result> <reference value="urn:uuid:6de9fbd5-d9e1-4337-9936-1bacdee98f99"/> </result> <result> <reference value="urn:uuid:c4bd4ce1-f87a-409b-88cf-a8e2a4c625ab"/> </result> <result> <reference value="urn:uuid:33cb86ac-edba-41d0-8dae-42a66f0be1de"/> </result> <result> <reference value="urn:uuid:f6d788bc-ccb0-4cb5-bc9b-0a4236fbe613"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:35873325-b6c4-4766-878a-27585879ef17"/> <resource> <Patient> <id value="35873325-b6c4-4766-878a-27585879ef17"/> <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>María Manuela Meléndez</td> <td>female</td> <td>01-Aug-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="ES"/> </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 value="3014-208609-6"/> </identifier> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="http://local.setting.eu/identifier"/> <value value="ae29e74b-88e5-8dab-13da-cbe6bb0434d4"/> </identifier> <name> <text value="María Manuela Meléndez"/> <family value="Meléndez"/> <given value="María Manuela"/> </name> <telecom> <system value="phone"/> <value value="+34974 237 957"/> </telecom> <gender value="female"/> <birthDate value="1982-08-01"/> <address> <use value="home"/> <type value="physical"/> <line value="Pasadizo de Samanta Valenzuela 29"/> <city value="Ávila"/> <postalCode value="05001"/> <country value="Spain"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:a7b1aa2a-e7be-4d0f-9ca6-b082552b7fe8"/> <resource> <ServiceRequest> <id value="a7b1aa2a-e7be-4d0f-9ca6-b082552b7fe8"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/> </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="28ecf511-a0ec-459d-b8f6-e57306f31462"/> </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:35873325-b6c4-4766-878a-27585879ef17"/> <display value="María Manuela Meléndez"/> </subject> <requester> <reference value="urn:uuid:9153a13a-3318-4baa-b183-f89fcfc3817a"/> </requester> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="59621000"/> <display value="Essential hypertension"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="40055000"/> <display 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<div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Hospital Provincial - CAÁvila</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="01a025f9-544a-45bd-9e1e-fcb2029e11f4"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Hospital Provincial - CAÁvila"/> <address> <city value="Ávila"/> <postalCode value="05003"/> <country value="Spain"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:01a4c756-3907-42d1-a5ec-f994bb24e020"/> <resource> <Specimen> <id value="01a4c756-3907-42d1-a5ec-f994bb24e020"/> <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">29-Apr-2018</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="2018-04-29"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:8d49d874-7c0e-43d7-8c4a-14ac993e9b02"/> <resource> <Observation> <id value="8d49d874-7c0e-43d7-8c4a-14ac993e9b02"/> <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>29-Apr-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Leukocytes [#/volume] in Blood by Automated count</td> <td>8.3</td> <td>4.5 - 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:35873325-b6c4-4766-878a-27585879ef17"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2018-04-29T21:24:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="8.3"/> <unit value="10*3/uL"/> <system value="http://unitsofmeasure.org"/> <code value="10*3/uL"/> </valueQuantity> <specimen> <reference value="urn:uuid:01a4c756-3907-42d1-a5ec-f994bb24e020"/> </specimen> <referenceRange> <low> <value value="4.5"/> <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:2af31e70-7288-4571-90d7-6db8173dc62c"/> <resource> <Observation> <id value="2af31e70-7288-4571-90d7-6db8173dc62c"/> <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>29-Apr-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Erythrocytes [#/volume] in Blood by Automated count</td> <td>5.0</td> <td>4.0 - 5.2</td> <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 value="Erythrocytes [#/volume] in Blood by Automated count"/> </coding> <text value="Erythrocytes [#/volume] in Blood by Automated count"/> </code> <subject> <reference value="urn:uuid:35873325-b6c4-4766-878a-27585879ef17"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2018-04-29T21:24:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="5"/> <unit value="10*6/uL"/> <system value="http://unitsofmeasure.org"/> <code value="10*6/uL"/> </valueQuantity> <specimen> <reference value="urn:uuid:01a4c756-3907-42d1-a5ec-f994bb24e020"/> </specimen> <referenceRange> <low> <value value="4"/> <system value="http://unitsofmeasure.org"/> <code value="10*6/uL"/> </low> <high> <value value="5.2"/> <system value="http://unitsofmeasure.org"/> <code value="10*6/uL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:36a9a282-10f3-46ee-9255-39638fa1e08a"/> <resource> <Observation> <id value="36a9a282-10f3-46ee-9255-39638fa1e08a"/> <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>29-Apr-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hemoglobin [Mass/volume] in Blood</td> <td>16.4</td> <td>12 - 16</td> <td>H</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:35873325-b6c4-4766-878a-27585879ef17"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2018-04-29T21:24:39Z"/> <performer> <display 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<status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>29-Apr-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hematocrit [Volume Fraction] of Blood by Automated count</td> <td>41.2</td> <td>36 - 46</td> <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="4544-3"/> <display value="Hematocrit [Volume Fraction] of Blood by Automated count"/> </coding> <text value="Hematocrit [Volume Fraction] of Blood by Automated count"/> </code> <subject> <reference value="urn:uuid:35873325-b6c4-4766-878a-27585879ef17"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2018-04-29T21:24:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="41.2"/> <unit value="%"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </valueQuantity> <specimen> <reference value="urn:uuid:01a4c756-3907-42d1-a5ec-f994bb24e020"/> </specimen> <referenceRange> <low> <value value="36"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </low> <high> <value value="46"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:e1aa2e5b-80cf-4260-9956-50aef3a88c8d"/> <resource> <Observation> <id value="e1aa2e5b-80cf-4260-9956-50aef3a88c8d"/> <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>29-Apr-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td> <td>89.2</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 Cells by Automated count"/> </coding> <text value="MCV [Entitic mean volume] in Red Blood Cells by Automated count"/> </code> <subject> <reference value="urn:uuid:35873325-b6c4-4766-878a-27585879ef17"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2018-04-29T21:24:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="89.2"/> <unit value="fL"/> <system value="http://unitsofmeasure.org"/> <code value="fL"/> </valueQuantity> <specimen> <reference 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</high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:2a409c4d-10b8-4a4e-928d-b156634de00c"/> <resource> <Observation> <id value="2a409c4d-10b8-4a4e-928d-b156634de00c"/> <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>29-Apr-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td> <td>34.8</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 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value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>29-Apr-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Platelets [#/volume] in Blood by Automated count</td> <td>248.3</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> </category> <code> <coding> <system value="http://loinc.org"/> <code value="777-3"/> <display value="Platelets [#/volume] in Blood by Automated count"/> </coding> <text value="Platelets [#/volume] in Blood by Automated count"/> </code> <subject> <reference value="urn:uuid:35873325-b6c4-4766-878a-27585879ef17"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2018-04-29T21:24:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value 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volume] in Blood by Automated count</td> <td>412.6</td> <td>9.4 - 12.3</td> <td>H</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="32207-3"/> <display value="Platelet distribution width [Entitic volume] in Blood by Automated count"/> </coding> <text value="Platelet distribution width [Entitic volume] in Blood by Automated count"/> </code> <subject> <reference value="urn:uuid:35873325-b6c4-4766-878a-27585879ef17"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2018-04-29T21:24:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="412.6"/> <unit value="fL"/> <system value="http://unitsofmeasure.org"/> <code value="fL"/> </valueQuantity> <interpretation> <coding> <system 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volume] in Blood by Automated count</td> <td>11.5</td> <td>7.2 - 11.5</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 Automated count"/> </code> <subject> <reference value="urn:uuid:35873325-b6c4-4766-878a-27585879ef17"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2018-04-29T21:24:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="11.5"/> <unit value="fL"/> <system value="http://unitsofmeasure.org"/> <code value="fL"/> </valueQuantity> <specimen> <reference 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3169d584-9990-4d7f-9155-20e8f2918bd9</div> </text> <practitioner> <reference value="urn:uuid:764e6a11-2a92-496b-b94b-89cfd2a44370"/> </practitioner> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:764e6a11-2a92-496b-b94b-89cfd2a44370"/> <resource> <Practitioner> <id value="764e6a11-2a92-496b-b94b-89cfd2a44370"/> <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="7399a46c-2976-42b4-90cb-44aedb723f4a"/> <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>

intentionally left empty / not meaningful


            
               
                  
                  
                  
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
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                  <title value="Hematology"/>
                  <code>
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                        <code value="18723-7"/>
                        <display value="Hematology studies (set)"/>
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                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Hematology</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>29-APR-2018</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Leukocytes [#/volume] in Blood by Automated count</td>
                                 <td>8.3</td>
                                 <td>4.5 - 11.0</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                                 <td>5.0</td>
                                 <td>4.0 - 5.2</td>
                                 <td>10*6/uL</td>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>16.4 H</strong>
                                 </td>
                                 <td>12 - 16</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Hematocrit [Volume Fraction] of Blood by Automated count</td>
                                 <td>41.2</td>
                                 <td>36 - 46</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
                                 <td>89.2</td>
                                 <td>80 - 100</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>MCH [Entitic mass] by Automated count</td>
                                 <td>31.3</td>
                                 <td>27 - 33</td>
                                 <td>pg</td>
                              </tr>
                              <tr>
                                 <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td>
                                 <td>34.8</td>
                                 <td>32 - 36</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocyte distribution width [Entitic volume] by Automated count</td>
                                 <td>41.3</td>
                                 <td>36 - 46</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>Platelets [#/volume] in Blood by Automated count</td>
                                 <td>248.3</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>412.6 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>11.5</td>
                                 <td>7.2 - 11.5</td>
                                 <td>fL</td>
                              </tr>
                           </tbody>
                        </table>
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                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>All hematological parameters are within normal limits except for mildly elevated hemoglobin and markedly increased platelet distribution width. The elevated hemoglobin may reflect mild dehydration or individual variation; the high platelet distribution width suggests increased platelet size variability, which can be seen in reactive states but is nonspecific. No acute pathology evident; clinical correlation recommended.</td>
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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:35873325-b6c4-4766-878a-27585879ef17"/>
               <display value="María Manuela Meléndez"/>
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               <reference value="urn:uuid:e1aa2e5b-80cf-4260-9956-50aef3a88c8d"/>
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               <reference value="urn:uuid:ed7289a3-3d33-42cc-9e0f-e5a8c7686a65"/>
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               <reference value="urn:uuid:2a409c4d-10b8-4a4e-928d-b156634de00c"/>
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               <reference value="urn:uuid:6de9fbd5-d9e1-4337-9936-1bacdee98f99"/>
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               <reference value="urn:uuid:c4bd4ce1-f87a-409b-88cf-a8e2a4c625ab"/>
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            <result>
               <reference value="urn:uuid:f6d788bc-ccb0-4cb5-bc9b-0a4236fbe613"/>
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   <entry>
      <fullUrl value="urn:uuid:35873325-b6c4-4766-878a-27585879ef17"/>
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         <Patient>
            <id value="35873325-b6c4-4766-878a-27585879ef17"/>
            <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"/>
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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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            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>María Manuela Meléndez</td>
                        <td>female</td>
                        <td>01-Aug-1982</td>
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                  </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="ES"/>
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                  </valueCodeableConcept>
               </extension>
            </extension>
            <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="3014-208609-6"/>
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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="ae29e74b-88e5-8dab-13da-cbe6bb0434d4"/>
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            <name>
               <text value="María Manuela Meléndez"/>
               <family value="Meléndez"/>
               <given value="María Manuela"/>
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            <telecom>
               <system value="phone"/>
               <value value="+34974 237 957"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1982-08-01"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Pasadizo de Samanta Valenzuela 29"/>
               <city value="Ávila"/>
               <postalCode value="05001"/>
               <country value="Spain"/>
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         </Patient>
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   <entry>
      <fullUrl value="urn:uuid:a7b1aa2a-e7be-4d0f-9ca6-b082552b7fe8"/>
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         <ServiceRequest>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/>
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            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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               <value value="28ecf511-a0ec-459d-b8f6-e57306f31462"/>
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            <status value="active"/>
            <intent value="order"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            </code>
            <subject>
               <reference value="urn:uuid:35873325-b6c4-4766-878a-27585879ef17"/>
               <display value="María Manuela Meléndez"/>
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            <requester>
               <reference value="urn:uuid:9153a13a-3318-4baa-b183-f89fcfc3817a"/>
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            <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="40055000"/>
                  <display value="Chronic sinusitis"/>
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            </reasonCode>
            <specimen>
               <reference value="urn:uuid:01a4c756-3907-42d1-a5ec-f994bb24e020"/>
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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: 9153a13a-3318-4baa-b183-f89fcfc3817a</div>
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            <organization>
               <reference value="urn:uuid:6c224753-20d0-4704-a617-9344f36067e3"/>
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         <Organization>
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               <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: Hospital Provincial - CAÁvila</div>
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            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="01a025f9-544a-45bd-9e1e-fcb2029e11f4"/>
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                  <display value="HL7 Europe"/>
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            <name value="Hospital Provincial - CAÁvila"/>
            <address>
               <city value="Ávila"/>
               <postalCode value="05003"/>
               <country value="Spain"/>
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         </Organization>
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   <entry>
      <fullUrl value="urn:uuid:01a4c756-3907-42d1-a5ec-f994bb24e020"/>
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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>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">29-Apr-2018</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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            <collection>
               <collectedDateTime value="2018-04-29"/>
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         </Specimen>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>29-Apr-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Leukocytes [#/volume] in Blood by Automated count</td>
                        <td>8.3</td>
                        <td>4.5 - 11.0</td>
                        <td/>
                        <td>10*3/uL</td>
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               </div>
            </text>
            <status value="final"/>
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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"/>
            </code>
            <subject>
               <reference value="urn:uuid:35873325-b6c4-4766-878a-27585879ef17"/>
               <display value="María Manuela Meléndez"/>
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            <effectiveDateTime value="2018-04-29T21:24:39Z"/>
            <performer>
               <display value="The Central European Lab"/>
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               <reference value="urn:uuid:01a4c756-3907-42d1-a5ec-f994bb24e020"/>
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                  <value value="11"/>
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                        <th>29-Apr-2018</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Erythrocytes [#/volume] in Blood by Automated count</td>
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                        <td>4.0 - 5.2</td>
                        <td/>
                        <td>10*6/uL</td>
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               </div>
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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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            <subject>
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               <display value="María Manuela Meléndez"/>
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               <high>
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                        <th>Test</th>
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                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin [Mass/volume] in Blood</td>
                        <td>16.4</td>
                        <td>12 - 16</td>
                        <td>H</td>
                        <td>g/dL</td>
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               </div>
            </text>
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            <code>
               <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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            <subject>
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               <display value="María Manuela Meléndez"/>
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               <code value="g/dL"/>
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                  <code value="H"/>
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            <specimen>
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               <low>
                  <value value="12"/>
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                  <code value="g/dL"/>
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                  <value value="16"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="g/dL"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
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                        <th>29-Apr-2018</th>
                        <th>Reference Range</th>
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                     </tr>
                     <tr>
                        <td>Hematocrit [Volume Fraction] of Blood by Automated count</td>
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                        <td>36 - 46</td>
                        <td/>
                        <td>%</td>
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               </div>
            </text>
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                  <code value="4544-3"/>
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               <text value="Hematocrit [Volume Fraction] of Blood by Automated count"/>
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                  <table class="hl7__eu__lab__report">
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                        <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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               <text value="MCV [Entitic mean volume] in Red Blood Cells by Automated count"/>
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