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   <timestamp value="2020-04-05T18:06:31Z"/>
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               <coding>
                  <system value="http://loinc.org"/>
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               <text value="Laboratory Report"/>
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            <category>
               <coding>
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                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
               </coding>
            </category>
            <subject>
               <reference value="urn:uuid:7965c401-7807-43a1-b7d7-0d9196d2673c"/>
               <display value="Rodolfo Emanuelli"/>
            </subject>
            <date value="2020-04-05T18:06:31Z"/>
            <author>
               <reference value="urn:uuid:9a674567-7eab-43b6-9983-6ad90b0824f8"/>
            </author>
            <title value="Laboratory Report"/>
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
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                     <display value="Laboratory studies (set)"/>
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                  <text value="Laboratory studies"/>
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               <section>
                  <title value="Chemistry"/>
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                     <coding>
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                        <display value="Chemistry studies (set)"/>
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                     <text value="Chemistry"/>
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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>05-APR-2020</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>5.4</td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>193.6 H</strong>
                                 </td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>20.0</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>1.1</td>
                                 <td>0.6 - 1.2</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>143.9</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 - 5.0</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>104.8</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>20.9 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>250.3 H</strong>
                                 </td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>346.7 H</strong>
                                 </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>147.8 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>
                                    <strong>33.2 L</strong>
                                 </td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Microalbumin/Creatinine [Mass Ratio] in Urine</td>
                                 <td>14.5</td>
                                 <td>0 - 30</td>
                                 <td>mg/g</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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            </section>
            <section>
               <title value="Annotation comment"/>
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                     <system value="http://loinc.org"/>
                     <code value="48767-8"/>
                     <display value="Annotation comment [Interpretation] Narrative"/>
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                     <h3>Annotation</h3>
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                        <tr>
                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows significant hyperglycemia with normal HbA1c, suggesting possible acute glucose elevation. Lipid profile reveals marked hypercholesterolemia, hypertriglyceridemia, elevated LDL, and low HDL, indicating high cardiovascular risk. Mildly decreased CO₂ may suggest metabolic acidosis. Renal function and microalbumin/creatinine are within normal limits. Recommend clinical correlation for diabetes and metabolic syndrome, and prompt management of dyslipidemia.</td>
                        </tr>
                     </table>
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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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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Rodolfo Emanuelli</td>
                        <td>male</td>
                        <td>17-Jun-1984</td>
                     </tr>
                  </table>
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                        <system value="urn:iso:std:iso:3166"/>
                        <code value="IT"/>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="7624-273065-3"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <value value="819337e1-fdfd-2729-4eb6-cc748e7f4722"/>
            </identifier>
            <name>
               <text value="Rodolfo Emanuelli"/>
               <family value="Emanuelli"/>
               <given value="Rodolfo"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+39 0974222293"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1984-06-17"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Contrada Adelmo, 20 Piano 5"/>
               <city value="Spresiano"/>
               <postalCode value="31027"/>
               <country value="Italy"/>
            </address>
         </Patient>
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            <status value="active"/>
            <intent value="order"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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               <reference value="urn:uuid:7965c401-7807-43a1-b7d7-0d9196d2673c"/>
               <display value="Rodolfo Emanuelli"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="55822004"/>
                  <display value="Hyperlipidemia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="80394007"/>
                  <display value="Hyperglycemia"/>
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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="271737000"/>
                  <display value="Anemia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <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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            </text>
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            </identifier>
            <name value="Centro di Medicina"/>
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               <line value="Viale della Repubblica 10b"/>
               <city value="Villorba"/>
               <postalCode value="31020"/>
               <country value="Italy"/>
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">05-Apr-2020</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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               <collectedDateTime value="2020-04-05"/>
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                        <td>Urine specimen</td>
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                        <td>Glucose [Mass/volume] in Blood</td>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
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                        <td>8.8</td>
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