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            <date value="2024-10-06T09:50:12Z"/>
            <author>
               <reference value="urn:uuid:c1cbf968-5e20-43de-ada6-e40e81f3e9e7"/>
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               <title value="Laboratory Report"/>
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                        <display value="Chemistry studies (set)"/>
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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>06-OCT-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>7.1 H</strong>
                                 </td>
                                 <td>4.8 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>110.8 H</strong>
                                 </td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>15.3</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>1.0</td>
                                 <td>0.5 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.9</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>137.2</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.7</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>104.3</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>23.9</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>220.3 H</strong>
                                 </td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>168.0 H</strong>
                                 </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>137.3 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>49.4</td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Microalbumin/Creatinine [Mass Ratio] in Urine</td>
                                 <td>16.9</td>
                                 <td>0 - 30</td>
                                 <td>mg/g</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
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            </section>
            <section>
               <title value="Annotation comment"/>
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                     <display value="Annotation comment [Interpretation] Narrative"/>
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                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The results indicate poor glycemic control (elevated HbA1c and fasting glucose), consistent with diabetes mellitus. There is also dyslipidemia (high total cholesterol, LDL, and triglycerides), increasing cardiovascular risk. Renal function and electrolytes are within normal limits, and there is no evidence of microalbuminuria. Recommend clinical follow-up for diabetes and lipid management.</td>
                        </tr>
                     </table>
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         </DiagnosticReport>
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               <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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               <status value="generated"/>
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                  <table class="hl7__ips">
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                        <td>Suzanne Schofield</td>
                        <td>female</td>
                        <td>12-Oct-1994</td>
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                     <code value="JHN"/>
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               <value value="4094-408942-0"/>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <value value="27ba6aa1-6cb5-6b38-b9f9-c60e66179644"/>
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            <name>
               <text value="Suzanne Schofield"/>
               <family value="Schofield"/>
               <given value="Suzanne"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="0117 496 0824"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1994-10-12"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Studio 3"/>
               <line value="Tina mount"/>
               <city value="Stanleymouth"/>
               <postalCode value="EH15"/>
               <country value="United Kingdom"/>
            </address>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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                  <display value="Essential hypertension"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="302870006"/>
                  <display value="Hypertriglyceridemia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="44054006"/>
                  <display value="Type 2 diabetes mellitus"/>
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                  <code value="271737000"/>
                  <display value="Anemia"/>
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            </reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="197927001"/>
                  <display value="Recurrent urinary tract infection"/>
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                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">06-Oct-2024</span>
                        </td>
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                           <span class="nb">06-Oct-2024</span>
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               <collectedDateTime value="2024-10-06"/>
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                        <td>Urine specimen</td>
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                        <th>06-Oct-2024</th>
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                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
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                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>110.8</td>
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