<confidentiality value="N"/> <section> <title value="Laboratory Report"/> <code> <coding> <system value="http://loinc.org"/> <code value="26436-6"/> <display value="Laboratory studies (set)"/> </coding> <text value="Laboratory studies"/> </code> <section> <title value="Hematology"/> <code> <coding> <system value="http://loinc.org"/> <code value="18723-7"/> <display value="Hematology studies (set)"/> </coding> <text value="Hematology"/> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h3>Hematology</h3> <table class="hl7__eu__lab__report"> <thead> <tr> <th>Test</th> <th>30-MAY-2016</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Leukocytes [#/volume] in Blood by Automated count</td> <td>8.1</td> <td>4.0 - 11.0</td> <td>10*3/uL</td> </tr> <tr> <td>Erythrocytes [#/volume] in Blood by Automated count</td> <td> <strong>4.0 L</strong> </td> <td>4.2 - 5.4</td> <td>10*6/uL</td> </tr> <tr> <td>Hemoglobin [Mass/volume] in Blood</td> <td>12.2</td> <td>12 - 16</td> <td>g/dL</td> </tr> <tr> <td>Hematocrit [Volume Fraction] of Blood by Automated count</td> <td> <strong>47.9 H</strong> </td> <td>36 - 46</td> <td>%</td> </tr> <tr> <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td> <td>83.7</td> <td>80 - 100</td> <td>fL</td> </tr> <tr> <td>MCH [Entitic mass] by Automated count</td> <td>29.4</td> <td>27 - 33</td> <td>pg</td> </tr> <tr> <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td> <td>33.3</td> <td>32 - 36</td> <td>g/dL</td> </tr> <tr> <td>Erythrocyte distribution width [Entitic volume] by Automated count</td> <td>42.3</td> <td>36 - 46</td> <td>fL</td> </tr> <tr> <td>Platelets [#/volume] in Blood by Automated count</td> <td>312.1</td> <td>150 - 450</td> <td>10*3/uL</td> </tr> <tr> <td>Platelet distribution width [Entitic volume] in Blood by Automated count</td> <td> <strong>305.0 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>10.4</td> <td>7.2 - 11.5</td> <td>fL</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:36122864-57c5-46cf-9844-6428e3ae4572"/> </entry> <entry> <reference value="urn:uuid:44925416-cc78-4707-9d39-63e7fa37578e"/> </entry> <entry> <reference value="urn:uuid:2235adba-3193-441f-b169-fcbfc19e8d3f"/> </entry> <entry> <reference value="urn:uuid:bb5480b8-2e6a-4c36-8b67-37b4258240ca"/> </entry> <entry> <reference value="urn:uuid:67a2d09a-0d1c-4681-8062-2f2d7fd52084"/> </entry> <entry> <reference value="urn:uuid:46047e95-6362-4834-b6c2-817a10909f49"/> </entry> <entry> <reference value="urn:uuid:bb7f5c58-d5ec-4fdd-ab34-8dfcc8c5dc82"/> </entry> <entry> <reference value="urn:uuid:54d316aa-071f-4e3f-90ce-e2d17a6eb6ac"/> </entry> <entry> <reference value="urn:uuid:c6c079fd-de47-458e-924e-ce6c9a4bb508"/> </entry> <entry> <reference value="urn:uuid:4061bbd6-1df7-4f20-917d-f6b859e21a77"/> </entry> <entry> <reference value="urn:uuid:8ac10754-10bc-4786-9cb8-ff06c7192036"/> </entry> </section> </section> <section> <title value="Annotation comment"/> <code> <coding> <system value="http://loinc.org"/> <code value="48767-8"/> <display value="Annotation comment [Interpretation] Narrative"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h3>Annotation</h3> <table class="hl7__eu__lab__report"> <tr> <th>Conclusion and Recommendations based on this report and previous findings known to us</th> </tr> <tr> <td>The patient shows mild erythrocytopenia with normal hemoglobin, slightly elevated hematocrit, and increased platelet distribution width. Other parameters are within normal limits. These findings may suggest mild red cell and platelet morphology variation, but no acute pathology is evident. Correlation with clinical context is recommended.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:b3e0752b-4c81-4639-a024-8bc9972cf821"/> <resource> <DiagnosticReport> <id value="b3e0752b-4c81-4639-a024-8bc9972cf821"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"/> </meta> <text> <status value="empty"/> <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div> </text> <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"> <valueReference> <reference value="urn:uuid:57be9602-7af0-48ba-9f09-59720755fdfd"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="78d13712-f46f-418d-935c-4fcef3e6e78b"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="2c69b627-646f-4fc3-8a39-69f5e188973c"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <status value="registered"/> <category> <coding> <system value="http://loinc.org"/> <code value="26436-6"/> <display value="Laboratory studies (set)"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="11502-2"/> <display value="Laboratory report"/> </coding> </code> <subject> <reference value="urn:uuid:a68648ae-dacd-4509-b517-a49b0eb7b6a2"/> <display value="Maria Giusti"/> </subject> <specimen> <reference value="urn:uuid:0ade9393-d53a-4d9c-b70b-104480f98113"/> </specimen> <result> <reference value="urn:uuid:36122864-57c5-46cf-9844-6428e3ae4572"/> </result> <result> <reference value="urn:uuid:44925416-cc78-4707-9d39-63e7fa37578e"/> </result> <result> <reference value="urn:uuid:2235adba-3193-441f-b169-fcbfc19e8d3f"/> </result> <result> <reference value="urn:uuid:bb5480b8-2e6a-4c36-8b67-37b4258240ca"/> </result> <result> <reference value="urn:uuid:67a2d09a-0d1c-4681-8062-2f2d7fd52084"/> </result> <result> <reference value="urn:uuid:46047e95-6362-4834-b6c2-817a10909f49"/> </result> <result> <reference value="urn:uuid:bb7f5c58-d5ec-4fdd-ab34-8dfcc8c5dc82"/> </result> <result> <reference value="urn:uuid:54d316aa-071f-4e3f-90ce-e2d17a6eb6ac"/> </result> <result> <reference value="urn:uuid:c6c079fd-de47-458e-924e-ce6c9a4bb508"/> </result> <result> <reference value="urn:uuid:4061bbd6-1df7-4f20-917d-f6b859e21a77"/> </result> <result> <reference value="urn:uuid:8ac10754-10bc-4786-9cb8-ff06c7192036"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:a68648ae-dacd-4509-b517-a49b0eb7b6a2"/> <resource> <Patient> <id value="a68648ae-dacd-4509-b517-a49b0eb7b6a2"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> </security> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TRAIN"/> </security> <tag> <system value="https://synderai.net/fhir/CodeSystem/tags"/> <code value="synthetic"/> <display value="SYNDERAI Synthetic data"/> </tag> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Maria Giusti</td> <td>female</td> <td>28-Jan-1977</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality"> <extension url="code"> <valueCodeableConcept> <coding> <system value="urn:iso:std:iso:3166"/> <code value="IT"/> </coding> </valueCodeableConcept> </extension> </extension> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="JHN"/> </coding> </type> <system value="http://ec.europa.eu/identifier/eci"/> <value value="1703-886854-7"/> </identifier> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="http://local.setting.eu/identifier"/> <value value="69d0da19-6ff3-0a91-67c1-671bdb976ffe"/> </identifier> <name> <text value="Maria Giusti"/> <family value="Giusti"/> <given value="Maria"/> </name> <telecom> <system value="phone"/> <value value="+39 3791345767"/> </telecom> <gender value="female"/> <birthDate value="1977-01-28"/> <address> <use value="home"/> <type value="physical"/> <line value="Contrada Pisaroni, 533 Appartamento 6"/> <city value="Gallignano"/> <postalCode value="40050"/> <country value="Italy"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:6c0c9bfd-3a02-4f1f-844f-292c0857d5ce"/> <resource> <ServiceRequest> <id value="6c0c9bfd-3a02-4f1f-844f-292c0857d5ce"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/> </meta> <text> <status value="empty"/> <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div> </text> <identifier> <system value="http://example.org"/> <value value="cd85e623-ed04-4960-af37-d05ce23eca92"/> </identifier> <status value="active"/> <intent value="order"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="108252007"/> <display value="Laboratory procedure"/> </coding> </code> <subject> <reference value="urn:uuid:a68648ae-dacd-4509-b517-a49b0eb7b6a2"/> <display value="Maria Giusti"/> </subject> <requester> <reference value="urn:uuid:b00c802a-21dd-47da-a628-7976f41da8c7"/> </requester> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="239873007"/> <display value="Osteoarthritis of knee"/> </coding> </reasonCode> <specimen> <reference value="urn:uuid:0ade9393-d53a-4d9c-b70b-104480f98113"/> </specimen> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:b00c802a-21dd-47da-a628-7976f41da8c7"/> <resource> <PractitionerRole> <id value="b00c802a-21dd-47da-a628-7976f41da8c7"/> <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: b00c802a-21dd-47da-a628-7976f41da8c7</div> </text> <organization> <reference value="urn:uuid:a77e80e0-cf1c-4d90-b019-56f305b657d3"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:a77e80e0-cf1c-4d90-b019-56f305b657d3"/> <resource> <Organization> <id value="a77e80e0-cf1c-4d90-b019-56f305b657d3"/> <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: Istituto Sant'Anna</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="d9a1a07b-f32f-4839-8bf8-8c22a1127262"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Istituto Sant'Anna"/> <address> <city value="Bologna"/> <postalCode value="40138"/> <country value="Italy"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:0ade9393-d53a-4d9c-b70b-104480f98113"/> <resource> <Specimen> <id value="0ade9393-d53a-4d9c-b70b-104480f98113"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/> </meta> <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">30-May-2016</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="2016-05-30"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:36122864-57c5-46cf-9844-6428e3ae4572"/> <resource> <Observation> <id value="36122864-57c5-46cf-9844-6428e3ae4572"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>30-May-2016</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Leukocytes [#/volume] in Blood by Automated count</td> <td>8.1</td> <td>4.0 - 11.0</td> <td/> <td>10*3/uL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="6690-2"/> <display value="Leukocytes [#/volume] in Blood by Automated count"/> </coding> <text value="Leukocytes [#/volume] in Blood by Automated count"/> </code> <subject> <reference value="urn:uuid:a68648ae-dacd-4509-b517-a49b0eb7b6a2"/> <display value="Maria Giusti"/> </subject> <effectiveDateTime value="2016-05-30T04:16:47Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="8.1"/> <unit value="10*3/uL"/> <system value="http://unitsofmeasure.org"/> <code value="10*3/uL"/> </valueQuantity> <specimen> <reference value="urn:uuid:0ade9393-d53a-4d9c-b70b-104480f98113"/> </specimen> <referenceRange> <low> <value value="4"/> <system value="http://unitsofmeasure.org"/> <code value="10*3/uL"/> </low> <high> <value value="11"/> <system value="http://unitsofmeasure.org"/> <code value="10*3/uL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:44925416-cc78-4707-9d39-63e7fa37578e"/> <resource> <Observation> <id value="44925416-cc78-4707-9d39-63e7fa37578e"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>30-May-2016</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Erythrocytes [#/volume] in Blood by Automated count</td> <td>4.0</td> <td>4.2 - 5.4</td> <td>L</td> <td>10*6/uL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="789-8"/> <display value="Erythrocytes [#/volume] in Blood by Automated count"/> </coding> <text value="Erythrocytes [#/volume] in Blood by Automated count"/> </code> <subject> <reference value="urn:uuid:a68648ae-dacd-4509-b517-a49b0eb7b6a2"/> <display value="Maria Giusti"/> </subject> <effectiveDateTime value="2016-05-30T04:16:47Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="4"/> <unit value="10*6/uL"/> <system value="http://unitsofmeasure.org"/> <code value="10*6/uL"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="L"/> <display value="Low"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:0ade9393-d53a-4d9c-b70b-104480f98113"/> </specimen> <referenceRange> <low> <value value="4.2"/> <system value="http://unitsofmeasure.org"/> <code value="10*6/uL"/> </low> <high> <value value="5.4"/> <system value="http://unitsofmeasure.org"/> <code value="10*6/uL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:2235adba-3193-441f-b169-fcbfc19e8d3f"/> <resource> <Observation> <id value="2235adba-3193-441f-b169-fcbfc19e8d3f"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>30-May-2016</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hemoglobin [Mass/volume] in Blood</td> <td>12.2</td> <td>12 - 16</td> <td/> <td>g/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="718-7"/> <display value="Hemoglobin [Mass/volume] in Blood"/> </coding> <text value="Hemoglobin [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:a68648ae-dacd-4509-b517-a49b0eb7b6a2"/> <display value="Maria Giusti"/> </subject> <effectiveDateTime value="2016-05-30T04:16:47Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="12.2"/> <unit value="g/dL"/> <system value="http://unitsofmeasure.org"/> <code value="g/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:0ade9393-d53a-4d9c-b70b-104480f98113"/> </specimen> <referenceRange> <low> <value value="12"/> <system value="http://unitsofmeasure.org"/> <code value="g/dL"/> </low> <high> <value value="16"/> <system value="http://unitsofmeasure.org"/> <code value="g/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:bb5480b8-2e6a-4c36-8b67-37b4258240ca"/> <resource> <Observation> <id value="bb5480b8-2e6a-4c36-8b67-37b4258240ca"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>30-May-2016</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hematocrit [Volume Fraction] of Blood by Automated count</td> <td>47.9</td> <td>36 - 46</td> <td>H</td> <td>%</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="4544-3"/> <display value="Hematocrit [Volume Fraction] of Blood by Automated count"/> </coding> <text value="Hematocrit [Volume Fraction] of Blood by Automated count"/> </code> <subject> <reference value="urn:uuid:a68648ae-dacd-4509-b517-a49b0eb7b6a2"/> <display value="Maria Giusti"/> </subject> <effectiveDateTime value="2016-05-30T04:16:47Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="47.9"/> <unit value="%"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="H"/> <display value="High"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:0ade9393-d53a-4d9c-b70b-104480f98113"/> </specimen> <referenceRange> <low> <value value="36"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </low> <high> <value value="46"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:67a2d09a-0d1c-4681-8062-2f2d7fd52084"/> <resource> <Observation> <id value="67a2d09a-0d1c-4681-8062-2f2d7fd52084"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>30-May-2016</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td> <td>83.7</td> <td>80 - 100</td> <td/> <td>fL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="787-2"/> <display value="MCV [Entitic mean volume] in Red Blood Cells by Automated count"/> </coding> <text value="MCV [Entitic mean volume] in Red Blood Cells by Automated count"/> </code> <subject> <reference value="urn:uuid:a68648ae-dacd-4509-b517-a49b0eb7b6a2"/> <display value="Maria Giusti"/> </subject> <effectiveDateTime value="2016-05-30T04:16:47Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="83.7"/> <unit value="fL"/> <system value="http://unitsofmeasure.org"/> <code value="fL"/> </valueQuantity> <specimen> <reference value="urn:uuid:0ade9393-d53a-4d9c-b70b-104480f98113"/> </specimen> <referenceRange> <low> <value value="80"/> <system value="http://unitsofmeasure.org"/> <code value="fL"/> </low> <high> <value value="100"/> <system value="http://unitsofmeasure.org"/> <code value="fL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:46047e95-6362-4834-b6c2-817a10909f49"/> <resource> <Observation> <id value="46047e95-6362-4834-b6c2-817a10909f49"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>30-May-2016</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>MCH [Entitic mass] by Automated count</td> <td>29.4</td> <td>27 - 33</td> <td/> <td>pg</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code 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value="urn:uuid:bb7f5c58-d5ec-4fdd-ab34-8dfcc8c5dc82"/> <resource> <Observation> <id value="bb7f5c58-d5ec-4fdd-ab34-8dfcc8c5dc82"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>30-May-2016</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td> <td>33.3</td> <td>32 - 36</td> <td/> <td>g/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="786-4"/> <display value="MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count"/> </coding> <text value="MCHC [Entitic Mass/volume] in Red Blood 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<tr> <th>Test</th> <th>30-May-2016</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Platelets [#/volume] in Blood by Automated count</td> <td>312.1</td> <td>150 - 450</td> <td/> <td>10*3/uL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="777-3"/> <display value="Platelets [#/volume] in Blood by Automated count"/> </coding> <text value="Platelets [#/volume] in Blood by Automated count"/> </code> <subject> <reference value="urn:uuid:a68648ae-dacd-4509-b517-a49b0eb7b6a2"/> <display value="Maria Giusti"/> </subject> <effectiveDateTime value="2016-05-30T04:16:47Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="312.1"/> <unit value="10*3/uL"/> <system value="http://unitsofmeasure.org"/> <code value="10*3/uL"/> 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intentionally left empty / not meaningful


            
               
                  
                  
                  
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
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                        <h3>Hematology</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>30-MAY-2016</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Leukocytes [#/volume] in Blood by Automated count</td>
                                 <td>8.1</td>
                                 <td>4.0 - 11.0</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                                 <td>
                                    <strong>4.0 L</strong>
                                 </td>
                                 <td>4.2 - 5.4</td>
                                 <td>10*6/uL</td>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Mass/volume] in Blood</td>
                                 <td>12.2</td>
                                 <td>12 - 16</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Hematocrit [Volume Fraction] of Blood by Automated count</td>
                                 <td>
                                    <strong>47.9 H</strong>
                                 </td>
                                 <td>36 - 46</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
                                 <td>83.7</td>
                                 <td>80 - 100</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>MCH [Entitic mass] by Automated count</td>
                                 <td>29.4</td>
                                 <td>27 - 33</td>
                                 <td>pg</td>
                              </tr>
                              <tr>
                                 <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td>
                                 <td>33.3</td>
                                 <td>32 - 36</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocyte distribution width [Entitic volume] by Automated count</td>
                                 <td>42.3</td>
                                 <td>36 - 46</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>Platelets [#/volume] in Blood by Automated count</td>
                                 <td>312.1</td>
                                 <td>150 - 450</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Platelet distribution width [Entitic volume] in Blood by Automated count</td>
                                 <td>
                                    <strong>305.0 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>10.4</td>
                                 <td>7.2 - 11.5</td>
                                 <td>fL</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
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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 erythrocytopenia with normal hemoglobin, slightly elevated hematocrit, and increased platelet distribution width. Other parameters are within normal limits. These findings may suggest mild red cell and platelet morphology variation, but no acute pathology is evident. Correlation with clinical context is recommended.</td>
                        </tr>
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                  <display value="HL7 Europe"/>
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                  <display value="HL7 Europe"/>
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            <status value="registered"/>
            <category>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="11502-2"/>
                  <display value="Laboratory report"/>
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            <subject>
               <reference value="urn:uuid:a68648ae-dacd-4509-b517-a49b0eb7b6a2"/>
               <display value="Maria Giusti"/>
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               <reference value="urn:uuid:36122864-57c5-46cf-9844-6428e3ae4572"/>
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               <reference value="urn:uuid:44925416-cc78-4707-9d39-63e7fa37578e"/>
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               <reference value="urn:uuid:54d316aa-071f-4e3f-90ce-e2d17a6eb6ac"/>
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               <reference value="urn:uuid:c6c079fd-de47-458e-924e-ce6c9a4bb508"/>
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            <result>
               <reference value="urn:uuid:8ac10754-10bc-4786-9cb8-ff06c7192036"/>
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         <Patient>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <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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            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Maria Giusti</td>
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                        <td>28-Jan-1977</td>
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               </div>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
                  <valueCodeableConcept>
                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="IT"/>
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               </extension>
            </extension>
            <identifier>
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                  <coding>
                     <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="1703-886854-7"/>
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            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <system value="http://local.setting.eu/identifier"/>
               <value value="69d0da19-6ff3-0a91-67c1-671bdb976ffe"/>
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            <name>
               <text value="Maria Giusti"/>
               <family value="Giusti"/>
               <given value="Maria"/>
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            <telecom>
               <system value="phone"/>
               <value value="+39 3791345767"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1977-01-28"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Contrada Pisaroni, 533 Appartamento 6"/>
               <city value="Gallignano"/>
               <postalCode value="40050"/>
               <country value="Italy"/>
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         </Patient>
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      <fullUrl value="urn:uuid:6c0c9bfd-3a02-4f1f-844f-292c0857d5ce"/>
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         <ServiceRequest>
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               <status value="empty"/>
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               <value value="cd85e623-ed04-4960-af37-d05ce23eca92"/>
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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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            <subject>
               <reference value="urn:uuid:a68648ae-dacd-4509-b517-a49b0eb7b6a2"/>
               <display value="Maria Giusti"/>
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            <requester>
               <reference value="urn:uuid:b00c802a-21dd-47da-a628-7976f41da8c7"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="239873007"/>
                  <display value="Osteoarthritis of knee"/>
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            <specimen>
               <reference value="urn:uuid:0ade9393-d53a-4d9c-b70b-104480f98113"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: b00c802a-21dd-47da-a628-7976f41da8c7</div>
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            <organization>
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            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Istituto Sant'Anna</div>
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            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="d9a1a07b-f32f-4839-8bf8-8c22a1127262"/>
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                  <display value="HL7 Europe"/>
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            <name value="Istituto Sant'Anna"/>
            <address>
               <city value="Bologna"/>
               <postalCode value="40138"/>
               <country value="Italy"/>
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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>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">30-May-2016</span>
                        </td>
                     </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="2016-05-30"/>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>30-May-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Leukocytes [#/volume] in Blood by Automated count</td>
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                        <td>4.0 - 11.0</td>
                        <td/>
                        <td>10*3/uL</td>
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               </div>
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            <status value="final"/>
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                  <code value="laboratory"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6690-2"/>
                  <display value="Leukocytes [#/volume] in Blood by Automated count"/>
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               <text value="Leukocytes [#/volume] in Blood by Automated count"/>
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            <subject>
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               <display value="Maria Giusti"/>
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            <effectiveDateTime value="2016-05-30T04:16:47Z"/>
            <performer>
               <display value="The Central European Lab"/>
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                  <value value="11"/>
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         <Observation>
            <id value="44925416-cc78-4707-9d39-63e7fa37578e"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>30-May-2016</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                        <td>4.0</td>
                        <td>4.2 - 5.4</td>
                        <td>L</td>
                        <td>10*6/uL</td>
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                  <system value="http://loinc.org"/>
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                  <display value="Erythrocytes [#/volume] in Blood by Automated count"/>
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               <text value="Erythrocytes [#/volume] in Blood by Automated count"/>
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               <display value="Maria Giusti"/>
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               <display value="The Central European Lab"/>
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                  <value value="5.4"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>30-May-2016</th>
                        <th>Reference Range</th>
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                     </tr>
                     <tr>
                        <td>Hemoglobin [Mass/volume] in Blood</td>
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                        <td>12 - 16</td>
                        <td/>
                        <td>g/dL</td>
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                  </table>
               </div>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="718-7"/>
                  <display value="Hemoglobin [Mass/volume] in Blood"/>
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               <text value="Hemoglobin [Mass/volume] in Blood"/>
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               <display value="Maria Giusti"/>
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               <code value="g/dL"/>
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                  <code value="g/dL"/>
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                  <value value="16"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="g/dL"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>30-May-2016</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Hematocrit [Volume Fraction] of Blood by Automated count</td>
                        <td>47.9</td>
                        <td>36 - 46</td>
                        <td>H</td>
                        <td>%</td>
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               </div>
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                  <code value="4544-3"/>
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               <text value="Hematocrit [Volume Fraction] of Blood by Automated count"/>
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               <display value="Maria Giusti"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>30-May-2016</th>
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                     <tr>
                        <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
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                        <td>80 - 100</td>
                        <td/>
                        <td>fL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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               <text value="MCV [Entitic mean volume] in Red Blood Cells by Automated count"/>
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                  <value value="100"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>30-May-2016</th>
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