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   <timestamp value="2017-10-01T08:27:23Z"/>
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               <display value="Margaux Dubois"/>
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            <date value="2017-10-01T08:27:23Z"/>
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            <title value="Laboratory Report"/>
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               <title value="Laboratory Report"/>
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                  <title value="Hematology"/>
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                        <h3>Hematology</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>01-OCT-2017</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Leukocytes [#/volume] in Blood by Automated count</td>
                                 <td>8.4</td>
                                 <td>4.5 - 11.0</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                                 <td>4.8</td>
                                 <td>3.8 - 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>40.0</td>
                                 <td>36 - 46</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
                                 <td>94.2</td>
                                 <td>80 - 100</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>MCH [Entitic mass] by Automated count</td>
                                 <td>32.3</td>
                                 <td>27 - 33</td>
                                 <td>pg</td>
                              </tr>
                              <tr>
                                 <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td>
                                 <td>32.5</td>
                                 <td>32 - 36</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocyte [DistWidth] in Blood by Automated count</td>
                                 <td>14.4</td>
                                 <td>11.5 - 14.5</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Platelets [#/volume] in Blood by Automated count</td>
                                 <td>188.8</td>
                                 <td>150 - 450</td>
                                 <td>10*3/uL</td>
                              </tr>
                           </tbody>
                        </table>
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               <section>
                  <title value="Chemistry"/>
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                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
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                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>01-OCT-2017</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>73.2</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>9.9</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.9 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>8.7</td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>137.0</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>4.0</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>
                                    <strong>20.7 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Serum or Plasma</td>
                                 <td>8.2</td>
                                 <td>6.6 - 8.3</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Albumin [Mass/volume] in Serum or Plasma</td>
                                 <td>4.6</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>12.5 H</strong>
                                 </td>
                                 <td>0.2 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>70.5</td>
                                 <td>32 - 91</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>37.2</td>
                                 <td>7 - 56</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>25.8</td>
                                 <td>10 - 40</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Magnesium [Mass/volume] in Serum or Plasma</td>
                                 <td>1.8</td>
                                 <td>1.7 - 2.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Phosphate [Mass/volume] in Serum or Plasma</td>
                                 <td>3.4</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>41.4</td>
                                 <td>35 - 45</td>
                                 <td>mm[Hg]</td>
                              </tr>
                              <tr>
                                 <td>Oxygen [Partial pressure] in Arterial blood</td>
                                 <td>96.4</td>
                                 <td>80 - 100</td>
                                 <td>mm[Hg]</td>
                              </tr>
                              <tr>
                                 <td>Bicarbonate [Moles/volume] in Arterial blood</td>
                                 <td>25.0</td>
                                 <td>22 - 32</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Oxygen saturation in Arterial blood</td>
                                 <td>95.0</td>
                                 <td>95 - 100</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>184.4</td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>148.1</td>
                                 <td>0 - 149</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td>
                                 <td>
                                    <strong>102.9 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>51.9</td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                           </tbody>
                        </table>
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                     <reference value="urn:uuid:fe1e7bda-6411-4a82-81a6-24c3eeda5dcf"/>
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               <section>
                  <title value="Coagulation"/>
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                        <code value="18720-3"/>
                        <display value="Coagulation studies (set)"/>
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                     <status value="generated"/>
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                        <h3>Coagulation</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>01-OCT-2017</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Prothrombin time (PT)</td>
                                 <td>
                                    <strong>9.5 L</strong>
                                 </td>
                                 <td>11.0 - 13.5</td>
                                 <td>s</td>
                              </tr>
                              <tr>
                                 <td>INR in Platelet poor plasma by Coagulation assay</td>
                                 <td>1.0</td>
                                 <td>0.9 - 1.1</td>
                                 <td>{INR}</td>
                              </tr>
                              <tr>
                                 <td>aPTT in Blood by Coagulation assay</td>
                                 <td>26.4</td>
                                 <td>22.0 - 32.0</td>
                                 <td>s</td>
                              </tr>
                           </tbody>
                        </table>
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                     <h3>Annotation</h3>
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                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows marked hyperbilirubinemia and elevated creatinine, indicating significant liver dysfunction and renal impairment. Severe acidemia (pH 6.9) and low total CO₂ suggest metabolic acidosis. Hemoglobin is mildly elevated, and LDL cholesterol is slightly high. Other parameters are within normal limits. Immediate clinical evaluation is recommended due to life-threatening acid-base disturbance and multi-organ dysfunction.</td>
                        </tr>
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               <line value="74, boulevard Philippine Schmitt"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            <subject>
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               <display value="Margaux Dubois"/>
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                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 988e98b5-dc49-4142-bc00-b313c6e876ef</div>
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               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Cabinet de Médecine Générale</div>
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            <name value="Cabinet de Médecine Générale"/>
            <address>
               <city value="Buxerolles"/>
               <postalCode value="86180"/>
               <country value="France"/>
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                  <display value="Whole blood specimen (specimen)"/>
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                  <display value="Platelet poor plasma specimen"/>
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                        <td>Leukocytes [#/volume] in Blood by Automated count</td>
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                        <td>Erythrocytes [#/volume] in Blood by Automated count</td>
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                        <td>Hematocrit [Volume Fraction] of Blood by Automated count</td>
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                        <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td>
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                        <th>Test</th>
                        <th>01-Oct-2017</th>
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                        <td>Sodium [Moles/volume] in Serum or Plasma</td>
                        <td>137.0</td>
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                        <td>4.0</td>
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                        <th>01-Oct-2017</th>
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                        <td>105.3</td>
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                        <td>20.7</td>
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                        <td>4.6</td>
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                        <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="1960-4"/>
                  <display value="Bicarbonate [Moles/volume] in Arterial blood"/>
               </coding>
               <text value="Bicarbonate [Moles/volume] in Arterial blood"/>
            </code>
            <subject>
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               <display value="Margaux Dubois"/>
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               <value value="25"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Test</th>
                        <th>01-Oct-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Oxygen saturation in Arterial blood</td>
                        <td>95.0</td>
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                        <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
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                        <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                        <td>148.1</td>
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                        <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td>
                        <td>102.9</td>
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               <status value="generated"/>
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            </text>
            <status value="active"/>
            <distinctIdentifier value="synderai-generator-50"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div>
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            <target>
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            <target>
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               <text value="Interoperability Testing and Training (non-clinical use)"/>
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                  <code value="CREATE"/>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">Laboratory Role Id: 749259eb-dc47-4f06-a717-ab732f2820ec</div>
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