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            <subject>
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               <display value="Francesco Beffa"/>
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            <date value="2024-05-23T14:59:51Z"/>
            <author>
               <reference value="urn:uuid:01965887-b540-4050-a3b9-2beb69be8e9f"/>
            </author>
            <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>23-MAY-2024</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>5.2</td>
                                 <td>4.3 - 5.7</td>
                                 <td>10*6/uL</td>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Mass/volume] in Blood</td>
                                 <td>16.3</td>
                                 <td>13.5 - 17.5</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Hematocrit [Volume Fraction] of Blood by Automated count</td>
                                 <td>47.0</td>
                                 <td>37 - 49</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
                                 <td>87.2</td>
                                 <td>80 - 100</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>MCH [Entitic mass] by Automated count</td>
                                 <td>32.4</td>
                                 <td>27 - 33</td>
                                 <td>pg</td>
                              </tr>
                              <tr>
                                 <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td>
                                 <td>35.4</td>
                                 <td>32 - 36</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocyte distribution width [Entitic volume] by Automated count</td>
                                 <td>42.2</td>
                                 <td>36 - 48</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>Platelets [#/volume] in Blood by Automated count</td>
                                 <td>282.5</td>
                                 <td>150 - 400</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Platelet distribution width [Entitic volume] in Blood by Automated count</td>
                                 <td>
                                    <strong>509.8 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>11.7</td>
                                 <td>7.2 - 12.8</td>
                                 <td>fL</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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                     <reference value="urn:uuid:f9d115b2-6554-4a04-9bdc-bce31c817000"/>
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               </section>
               <section>
                  <title value="Chemistry"/>
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                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
                     </coding>
                     <text value="Chemistry"/>
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                  <text>
                     <status value="generated"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>23-MAY-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.0 H</strong>
                                 </td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>88.7</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>17.8</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>1.0</td>
                                 <td>0.7 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>8.8</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>142.4</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.9</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>110.6 H</strong>
                                 </td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>24.2</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>192.4</td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>106.4</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>126.5 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>44.7</td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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               <title value="Annotation comment"/>
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                     <display value="Annotation comment [Interpretation] Narrative"/>
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                     <h3>Annotation</h3>
                     <table class="hl7__eu__lab__report">
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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 mildly elevated HbA1c, LDL cholesterol, chloride, and platelet distribution width, suggesting suboptimal glycemic and lipid control, possible mild hyperchloremia, and increased platelet size variability. Other parameters, including renal function, electrolytes, blood counts, and lipid profile, are within normal limits. Recommend clinical correlation and consideration of cardiovascular risk management and diabetes monitoring.</td>
                        </tr>
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                        <td>Francesco Beffa</td>
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               <system value="phone"/>
               <value value="0544382432"/>
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            <gender value="male"/>
            <birthDate value="1963-01-16"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Piazza Bombieri, 756 Piano 0"/>
               <city value="Gissi"/>
               <postalCode value="66052"/>
               <country value="Italy"/>
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               <reference value="urn:uuid:f4382b3a-18de-43d1-8439-7b6a76afad33"/>
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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="237602007"/>
                  <display value="Metabolic syndrome X"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="91302008"/>
                  <display value="Sepsis"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:70661bcb-0a30-4632-8aaa-e32c999ac705"/>
            </specimen>
            <specimen>
               <reference value="urn:uuid:8af7daa6-ab4b-45f3-b563-baaf62cfcc27"/>
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         </ServiceRequest>
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   <entry>
      <fullUrl value="urn:uuid:f4382b3a-18de-43d1-8439-7b6a76afad33"/>
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         <PractitionerRole>
            <id value="f4382b3a-18de-43d1-8439-7b6a76afad33"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: f4382b3a-18de-43d1-8439-7b6a76afad33</div>
            </text>
            <organization>
               <reference value="urn:uuid:36d3e5a8-8b15-4c78-845a-f65acef3d4b7"/>
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   <entry>
      <fullUrl value="urn:uuid:36d3e5a8-8b15-4c78-845a-f65acef3d4b7"/>
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         <Organization>
            <id value="36d3e5a8-8b15-4c78-845a-f65acef3d4b7"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Ospedale Civico Renzetti Lanciano</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="763dbb3b-f6c1-49d2-b0e2-2dc63f949065"/>
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                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Ospedale Civico Renzetti Lanciano"/>
            <address>
               <line value="Via del Mare 1"/>
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               <postalCode value="66034"/>
               <country value="Italy"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:70661bcb-0a30-4632-8aaa-e32c999ac705"/>
      <resource>
         <Specimen>
            <id value="70661bcb-0a30-4632-8aaa-e32c999ac705"/>
            <meta>
               <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">23-May-2024</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="2024-05-23"/>
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         </Specimen>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:8af7daa6-ab4b-45f3-b563-baaf62cfcc27"/>
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         <Specimen>
            <id value="8af7daa6-ab4b-45f3-b563-baaf62cfcc27"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">23-May-2024</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="122592007"/>
                  <display value="Acellular blood (serum or plasma) specimen"/>
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            <collection>
               <collectedDateTime value="2024-05-23"/>
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         </Specimen>
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   <entry>
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         <Observation>
            <id value="86acd312-4d86-4c9e-b753-c5527c0a85b8"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>23-May-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>6.0</td>
                        <td>4.8 - 5.9</td>
                        <td>H</td>
                        <td>%</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="4548-4"/>
                  <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
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               <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
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            <subject>
               <reference value="urn:uuid:3c6f9de1-a486-4566-8ab9-acbc01ea87d3"/>
               <display value="Francesco Beffa"/>
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            <effectiveDateTime value="2024-05-23T12:59:51Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
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               <system value="http://unitsofmeasure.org"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="H"/>
                  <display value="High"/>
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            <specimen>
               <reference value="urn:uuid:70661bcb-0a30-4632-8aaa-e32c999ac705"/>
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            <referenceRange>
               <low>
                  <value value="4.8"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="%"/>
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               <high>
                  <value value="5.9"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="%"/>
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   <entry>
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         <Observation>
            <id value="7522a7a8-ea6a-40f8-be3a-0955f646c662"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>23-May-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>88.7</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2339-0"/>
                  <display value="Glucose [Mass/volume] in Blood"/>
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               <text value="Glucose [Mass/volume] in Blood"/>
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            <subject>
               <reference value="urn:uuid:3c6f9de1-a486-4566-8ab9-acbc01ea87d3"/>
               <display value="Francesco Beffa"/>
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            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="88.7"/>
               <unit value="mg/dL"/>
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               <code value="mg/dL"/>
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            <specimen>
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            <referenceRange>
               <low>
                  <value value="70"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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               <high>
                  <value value="100"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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   <entry>
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         <Observation>
            <id value="d4460129-4da3-496f-952b-3dc91e0b3584"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>23-May-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>17.8</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6299-2"/>
                  <display value="Urea nitrogen [Mass/volume] in Blood"/>
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               <text value="Urea nitrogen [Mass/volume] in Blood"/>
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            <subject>
               <reference value="urn:uuid:3c6f9de1-a486-4566-8ab9-acbc01ea87d3"/>
               <display value="Francesco Beffa"/>
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            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="17.8"/>
               <unit value="mg/dL"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
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            <specimen>
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                  <value value="7"/>
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                  <code value="mg/dL"/>
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               <high>
                  <value value="20"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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   <entry>
      <fullUrl value="urn:uuid:784ec588-69ac-4e24-8150-60dfbc2adce3"/>
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         <Observation>
            <id value="784ec588-69ac-4e24-8150-60dfbc2adce3"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>23-May-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>1.0</td>
                        <td>0.7 - 1.3</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
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               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="38483-4"/>
                  <display value="Creatinine [Mass/volume] in Blood"/>
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               <text value="Creatinine [Mass/volume] in Blood"/>
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            <subject>
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               <display value="Francesco Beffa"/>
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            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="1"/>
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               <code value="mg/dL"/>
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            <specimen>
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                  <code value="mg/dL"/>
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               <high>
                  <value value="1.3"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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   <entry>
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         <Observation>
            <id value="347ac273-43d2-4b88-a735-ea35d697fe3c"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>23-May-2024</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>8.8</td>
                        <td>8.5 - 10.5</td>
                        <td/>
                        <td>mg/dL</td>
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            <code>
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                  <system value="http://loinc.org"/>
                  <code value="49765-1"/>
                  <display value="Calcium [Mass/volume] in Blood"/>
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               <text value="Calcium [Mass/volume] in Blood"/>
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               <display value="Francesco Beffa"/>
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                  <code value="mg/dL"/>
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   <entry>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>23-May-2024</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>142.4</td>
                        <td>135 - 145</td>
                        <td/>
                        <td>mmol/L</td>
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            </text>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2947-0"/>
                  <display value="Sodium [Moles/volume] in Blood"/>
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               <text value="Sodium [Moles/volume] in Blood"/>
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                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>23-May-2024</th>
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                     <tr>
                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.9</td>
                        <td>3.5 - 5.1</td>
                        <td/>
                        <td>mmol/L</td>
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            </text>
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                  <code value="6298-4"/>
                  <display value="Potassium [Moles/volume] in Blood"/>
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               <text value="Potassium [Moles/volume] in Blood"/>
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      </resource>
   </entry>
</Bundle>