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               <display value="Yves Rémy"/>
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            <date value="2023-05-07T07:32:03Z"/>
            <author>
               <reference value="urn:uuid:12c71236-51ea-4c59-9e18-6520b63b88f4"/>
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            <title value="Laboratory Report"/>
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               <title value="Laboratory Report"/>
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                  <title value="Chemistry"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>07-MAY-2023</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>69.3 L</strong>
                                 </td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>10.0</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.0 H</strong>
                                 </td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Serum or Plasma</td>
                                 <td>9.4</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>141.6</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>4.8</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>110.7 H</strong>
                                 </td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>24.5</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test = +</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>2.8 L</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                           </tbody>
                        </table>
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                  <entry>
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               <section>
                  <title value="Urinalysis"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18729-4"/>
                        <display value="Urinalysis studies (set)"/>
                     </coding>
                     <text value="Urinalysis"/>
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                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Urinalysis</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>07-MAY-2023</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>1.3 H</strong>
                                 </td>
                                 <td>0 - 0.8</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Presence] in Urine by Test strip</td>
                                 <td>Urine glucose test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>1.1 H</strong>
                                 </td>
                                 <td>0.0 - 0.4</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Presence] in Urine by Test strip</td>
                                 <td>Finding of bilirubin in urine</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Ketones [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>4.8 H</strong>
                                 </td>
                                 <td>0 - 4</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Specific gravity of Urine by Test strip</td>
                                 <td>
                                    <strong>1.0 L</strong>
                                 </td>
                                 <td>1.005 - 1.030</td>
                                 <td>{nominal}</td>
                              </tr>
                              <tr>
                                 <td>pH of Urine by Test strip</td>
                                 <td>6.8</td>
                                 <td>4.5 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>247.2 H</strong>
                                 </td>
                                 <td>0 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Protein [Presence] in Urine by Test strip</td>
                                 <td>Urine protein test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Nitrite [Presence] in Urine by Test strip</td>
                                 <td>Urine nitrite negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Presence] in Urine by Test strip</td>
                                 <td>Urine blood test = negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
                                 <td>Urine leukocyte test negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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                        <display value="Specimen information"/>
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                        <h3>Specimen information</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>07-MAY-2023</th>
                                 <th>Specimen</th>
                                 <th/>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Appearance of Urine</td>
                                 <td>Cloudy urine</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Odor of Urine</td>
                                 <td>Urine smell ammoniacal</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Clarity of Urine</td>
                                 <td>Translucent</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Color of Urine</td>
                                 <td>Brown color</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                           </tbody>
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                     <display value="Annotation comment [Interpretation] Narrative"/>
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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 mild hypoglycemia and low HbA1c, with elevated creatinine suggesting impaired renal function. Urinalysis reveals proteinuria, glucosuria, ketonuria, elevated bilirubin, low specific gravity, and abnormal urine appearance/color, indicating possible renal and/or hepatic dysfunction. No evidence of urinary infection. Recommend further evaluation for renal and hepatic pathology and review of glycemic management.</td>
                        </tr>
                     </table>
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            </section>
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                  <table class="hl7__ips">
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                        <td>Yves Rémy</td>
                        <td>male</td>
                        <td>16-May-1948</td>
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               <system value="http://local.setting.eu/identifier"/>
               <value value="12ef67e4-2698-90f4-7860-a5366805885f"/>
            </identifier>
            <name>
               <text value="Yves Rémy"/>
               <family value="Rémy"/>
               <given value="Yves"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+33 (0)1 53 38 28 55"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1948-05-16"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="rue de Turpin"/>
               <city value="Cannes"/>
               <postalCode value="06400"/>
               <country value="France"/>
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         </Patient>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:9d6d9901-2d56-4f8f-833d-01badddb0b65"/>
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         <ServiceRequest>
            <id value="9d6d9901-2d56-4f8f-833d-01badddb0b65"/>
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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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               <system value="http://example.org"/>
               <value value="a0bb072d-ee3d-4529-82b4-2185e4ee4086"/>
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            <status value="active"/>
            <intent value="order"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            </code>
            <subject>
               <reference value="urn:uuid:c7f59daf-2e53-41ab-b097-9c6e8c4e854f"/>
               <display value="Yves Rémy"/>
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               <reference value="urn:uuid:143537f8-200a-481c-992b-b939cd6d62d2"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="88805009"/>
                  <display value="Chronic congestive heart failure"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431856006"/>
                  <display value="Chronic kidney disease stage 2"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="90781000119102"/>
                  <display value="Microalbuminuria due to type 2 diabetes mellitus"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="64859006"/>
                  <display value="Osteoporosis"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
               </coding>
            </reasonCode>
            <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="90560007"/>
                  <display value="Gout"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:936c59ad-a280-49f4-9c15-8bf528fe423c"/>
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            <specimen>
               <reference value="urn:uuid:eefb3d0c-9ada-486a-b23a-d14e7c03818d"/>
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            <specimen>
               <reference value="urn:uuid:ce0ec87f-6aba-4a7e-87cc-39ad14a1e714"/>
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   <entry>
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         <PractitionerRole>
            <id value="143537f8-200a-481c-992b-b939cd6d62d2"/>
            <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: 143537f8-200a-481c-992b-b939cd6d62d2</div>
            </text>
            <organization>
               <reference value="urn:uuid:a3f39b58-ca72-453e-ac4f-93a69620cf35"/>
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         </PractitionerRole>
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   <entry>
      <fullUrl value="urn:uuid:a3f39b58-ca72-453e-ac4f-93a69620cf35"/>
      <resource>
         <Organization>
            <id value="a3f39b58-ca72-453e-ac4f-93a69620cf35"/>
            <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: Clinique du Méridien</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="e8962775-e81d-4a79-9e4c-edbc34a78564"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Clinique du Méridien"/>
            <address>
               <city value="Cannes"/>
               <postalCode value="06150"/>
               <country value="France"/>
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         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:936c59ad-a280-49f4-9c15-8bf528fe423c"/>
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         <Specimen>
            <id value="936c59ad-a280-49f4-9c15-8bf528fe423c"/>
            <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>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">07-May-2023</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"/>
               </coding>
            </type>
            <collection>
               <collectedDateTime value="2023-05-07"/>
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         </Specimen>
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   <entry>
      <fullUrl value="urn:uuid:eefb3d0c-9ada-486a-b23a-d14e7c03818d"/>
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         <Specimen>
            <id value="eefb3d0c-9ada-486a-b23a-d14e7c03818d"/>
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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>Urine specimen</td>
                        <td>
                           <span class="nb">07-May-2023</span>
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                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="122575003"/>
                  <display value="Urine specimen"/>
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            <collection>
               <collectedDateTime value="2023-05-07"/>
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         </Specimen>
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   <entry>
      <fullUrl value="urn:uuid:ce0ec87f-6aba-4a7e-87cc-39ad14a1e714"/>
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         <Specimen>
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            <text>
               <status value="generated"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Specimen</th>
                        <th>Collection Date</th>
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                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">07-May-2023</span>
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                     </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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            </type>
            <collection>
               <collectedDateTime value="2023-05-07"/>
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         </Specimen>
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   <entry>
      <fullUrl value="urn:uuid:b2c68b4d-3635-4c2a-bd4c-e6e94d471946"/>
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         <Observation>
            <id value="b2c68b4d-3635-4c2a-bd4c-e6e94d471946"/>
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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>07-May-2023</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
                        <td>69.3</td>
                        <td>70 - 100</td>
                        <td>L</td>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <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="2345-7"/>
                  <display value="Glucose [Mass/volume] in Serum or Plasma"/>
               </coding>
               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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            <subject>
               <reference value="urn:uuid:c7f59daf-2e53-41ab-b097-9c6e8c4e854f"/>
               <display value="Yves Rémy"/>
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            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="69.3"/>
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               <code value="mg/dL"/>
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            <interpretation>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="L"/>
                  <display value="Low"/>
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            <specimen>
               <reference value="urn:uuid:936c59ad-a280-49f4-9c15-8bf528fe423c"/>
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                  <value value="70"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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               <high>
                  <value value="100"/>
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                  <code value="mg/dL"/>
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   <entry>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>07-May-2023</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                        <td>10.0</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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            </text>
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                  <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="3094-0"/>
                  <display value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
               </coding>
               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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               <display value="Yves Rémy"/>
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            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="10"/>
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               <low>
                  <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>
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                  <table class="hl7__eu__lab__report">
                     <tr>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                        <td>2.0</td>
                        <td>0.6 - 1.3</td>
                        <td>H</td>
                        <td>mg/dL</td>
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            </text>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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                  <code value="2160-0"/>
                  <display value="Creatinine [Mass/volume] in Serum or Plasma"/>
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               <text value="Creatinine [Mass/volume] in Serum or Plasma"/>
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            <performer>
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            <valueQuantity>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="H"/>
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            <specimen>
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            <referenceRange>
               <low>
                  <value value="0.6"/>
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                  <code value="mg/dL"/>
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               <high>
                  <value value="1.3"/>
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                  <code value="mg/dL"/>
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   <entry>
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         <Observation>
            <id value="0ca9c0b1-a189-41c7-b3eb-b54adf88bb66"/>
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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>07-May-2023</th>
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                     <tr>
                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
                        <td>9.4</td>
                        <td>8.5 - 10.5</td>
                        <td/>
                        <td>mg/dL</td>
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               </div>
            </text>
            <status value="final"/>
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                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="17861-6"/>
                  <display value="Calcium [Mass/volume] in Serum or Plasma"/>
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               <text value="Calcium [Mass/volume] in Serum or Plasma"/>
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               <code value="mg/dL"/>
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                  <table class="hl7__eu__lab__report">
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                     <tr>
                        <td>Sodium [Moles/volume] in Serum or Plasma</td>
                        <td>141.6</td>
                        <td>135 - 145</td>
                        <td/>
                        <td>mmol/L</td>
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            </text>
            <status value="final"/>
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            <code>
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                  <code value="2951-2"/>
                  <display value="Sodium [Moles/volume] in Serum or Plasma"/>
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               <text value="Sodium [Moles/volume] in Serum or Plasma"/>
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   <entry>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>07-May-2023</th>
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                     <tr>
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