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               <display value="Kristina Pocius"/>
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            <date value="2021-03-15T10:28:48Z"/>
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            <title value="Laboratory Report"/>
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               <title value="Laboratory Report"/>
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                  <title value="Hematology"/>
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                     <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>15-MAR-2021</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Leukocytes [#/volume] in Blood by Automated count</td>
                                 <td>
                                    <strong>3.8 L</strong>
                                 </td>
                                 <td>4.0 - 11.0</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                                 <td>5.1</td>
                                 <td>4.3 - 5.7</td>
                                 <td>10*6/uL</td>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>12.8 L</strong>
                                 </td>
                                 <td>13.5 - 17.5</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Hematocrit [Volume Fraction] of Blood by Automated count</td>
                                 <td>42.4</td>
                                 <td>37 - 49</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
                                 <td>93.2</td>
                                 <td>80 - 100</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>MCH [Entitic mass] by Automated count</td>
                                 <td>27.5</td>
                                 <td>27 - 33</td>
                                 <td>pg</td>
                              </tr>
                              <tr>
                                 <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td>
                                 <td>34.5</td>
                                 <td>32 - 36</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocyte [DistWidth] in Blood by Automated count</td>
                                 <td>14.5</td>
                                 <td>11.5 - 14.5</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Platelets [#/volume] in Blood by Automated count</td>
                                 <td>
                                    <strong>114.3 L</strong>
                                 </td>
                                 <td>150 - 450</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Neutrophils/100 leukocytes in Blood by Automated count</td>
                                 <td>
                                    <strong>35.7 L</strong>
                                 </td>
                                 <td>40 - 74</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Lymphocytes/100 leukocytes in Blood by Automated count</td>
                                 <td>24.5</td>
                                 <td>20 - 40</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Monocytes/100 leukocytes in Blood by Automated count</td>
                                 <td>6.6</td>
                                 <td>2 - 10</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Eosinophils/100 leukocytes in Blood by Automated count</td>
                                 <td>4.6</td>
                                 <td>0 - 6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Basophils/100 leukocytes in Blood by Automated count</td>
                                 <td>
                                    <strong>3.8 H</strong>
                                 </td>
                                 <td>0.5 - 1.0</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Neutrophils [#/volume] in Blood by Automated count</td>
                                 <td>3.5</td>
                                 <td>1.8 - 7.8</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Lymphocytes [#/volume] in Blood by Automated count</td>
                                 <td>
                                    <strong>0.9 L</strong>
                                 </td>
                                 <td>1.0 - 3.4</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Monocytes [#/volume] in Blood by Automated count</td>
                                 <td>0.7</td>
                                 <td>0.2 - 0.8</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Eosinophils [#/volume] in Blood by Automated count</td>
                                 <td>0.4</td>
                                 <td>0.0 - 0.5</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Basophils [#/volume] in Blood by Automated count</td>
                                 <td>0.2</td>
                                 <td>0.0 - 0.2</td>
                                 <td>10*3/uL</td>
                              </tr>
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                  <title value="Chemistry"/>
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                        <display value="Chemistry studies (set)"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>15-MAR-2021</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Oxygen saturation in Arterial blood</td>
                                 <td>
                                    <strong>88.9 L</strong>
                                 </td>
                                 <td>95 - 100</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>90.3</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>8.3</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.5 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>9.9</td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>142.6</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>4.7</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>109.6 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>22.7</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Serum or Plasma</td>
                                 <td>7.0</td>
                                 <td>6.6 - 8.3</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Albumin [Mass/volume] in Serum or Plasma</td>
                                 <td>4.6</td>
                                 <td>3.5 - 5.5</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>10.5 H</strong>
                                 </td>
                                 <td>0.2 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>107.7</td>
                                 <td>30 - 120</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>42.7 H</strong>
                                 </td>
                                 <td>10 - 40</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>29.5</td>
                                 <td>10 - 40</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Ferritin [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>471.0 H</strong>
                                 </td>
                                 <td>24 - 336</td>
                                 <td>ug/L</td>
                              </tr>
                              <tr>
                                 <td>Troponin I.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method</td>
                                 <td>4.0</td>
                                 <td>0 - 19.9</td>
                                 <td>pg/mL</td>
                              </tr>
                              <tr>
                                 <td>Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma by Lactate to pyruvate reaction</td>
                                 <td>227.6</td>
                                 <td>140 - 280</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Creatine kinase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>37.1</td>
                                 <td>24 - 204</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>C reactive protein [Mass/volume] in Serum or Plasma</td>
                                 <td>8.5</td>
                                 <td>0 - 10</td>
                                 <td>mg/L</td>
                              </tr>
                              <tr>
                                 <td>Procalcitonin [Mass/volume] in Serum or Plasma</td>
                                 <td>0.1</td>
                                 <td>0 - 0.5</td>
                                 <td>ng/mL</td>
                              </tr>
                           </tbody>
                        </table>
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                  <title value="Coagulation"/>
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                        <display value="Coagulation studies (set)"/>
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                     <status value="generated"/>
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                        <h3>Coagulation</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>15-MAR-2021</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Fibrin D-dimer FEU [Mass/volume] in Platelet poor plasma</td>
                                 <td>
                                    <strong>0.6 H</strong>
                                 </td>
                                 <td>0 - 0.5</td>
                                 <td>ug/mL</td>
                              </tr>
                              <tr>
                                 <td>Prothrombin time (PT)</td>
                                 <td>12.8</td>
                                 <td>11.0 - 13.0</td>
                                 <td>s</td>
                              </tr>
                              <tr>
                                 <td>INR in Platelet poor plasma by Coagulation assay</td>
                                 <td>
                                    <strong>1.7 H</strong>
                                 </td>
                                 <td>0.9 - 1.2</td>
                                 <td>{INR}</td>
                              </tr>
                           </tbody>
                        </table>
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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 hypoxemia, mild anemia, leukopenia with lymphopenia, thrombocytopenia, and elevated D-dimer, ferritin, INR, creatinine, bilirubin, ALT, and chloride. These findings suggest impaired oxygenation, possible acute or chronic liver and kidney dysfunction, and a pro-inflammatory/pro-thrombotic state. Close clinical correlation is recommended to rule out infection, organ failure, or hematologic disorders.</td>
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                  <display value="HL7 Europe"/>
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            <status value="registered"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="11502-2"/>
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               <reference value="urn:uuid:ac0c80ba-298d-432d-bc59-407867b668dc"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
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                  <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"/>
               </tag>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Kristina Pocius</td>
                        <td>male</td>
                        <td>20-Jan-1944</td>
                     </tr>
                  </table>
               </div>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
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                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="LT"/>
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                  </valueCodeableConcept>
               </extension>
            </extension>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               </type>
               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="5121-608381-9"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               </type>
               <system value="http://local.setting.eu/identifier"/>
               <value value="36b7833e-71af-81cd-9a38-4797ccc364d3"/>
            </identifier>
            <name>
               <text value="Kristina Pocius"/>
               <family value="Pocius"/>
               <given value="Kristina"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+(370) 15217384"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1944-01-20"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="99218 Nagys Ridge"/>
               <city value="West Marijaside"/>
               <postalCode value="93234"/>
               <country value="Lithuania"/>
            </address>
         </Patient>
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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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            <identifier>
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               <value value="c389dbb5-7215-4946-a6ac-f8f31f34b31a"/>
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            <status value="active"/>
            <intent value="order"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:16297f99-320a-4da8-a894-7b3cbba0091d"/>
               <display value="Kristina Pocius"/>
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            <requester>
               <reference value="urn:uuid:40d3c799-d100-49d6-b953-88638efe0945"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="26929004"/>
                  <display value="Alzheimer's disease"/>
               </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="368581000119106"/>
                  <display value="Neuropathy due to type 2 diabetes mellitus"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="80394007"/>
                  <display value="Hyperglycemia"/>
               </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"/>
               </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="40055000"/>
                  <display value="Chronic sinusitis"/>
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            </reasonCode>
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               <reference value="urn:uuid:35567bda-6c46-461d-82b2-c88742f1f7ce"/>
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            <specimen>
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            <specimen>
               <reference value="urn:uuid:fc17beaa-6487-4db8-8e6a-c4b08868de65"/>
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            <specimen>
               <reference value="urn:uuid:b0eee9d8-c212-45ff-bcbd-6aa3b0a44d77"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"/>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 40d3c799-d100-49d6-b953-88638efe0945</div>
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            <organization>
               <reference value="urn:uuid:8ff277be-634b-412e-a37a-b0ceb96524c9"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Dr. Tomas Bakas</div>
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            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="36ee81ac-cc77-47a1-a7f4-200e7bd2119a"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Dr. Tomas Bakas"/>
            <address>
               <line value="182 Savanorių pr."/>
               <city value="Klaipėda"/>
               <postalCode value="LT-91200"/>
               <country value="Lithuania"/>
            </address>
         </Organization>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Arterial blood specimen</td>
                        <td>
                           <span class="nb">15-Mar-2021</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <code value="122552005"/>
                  <display value="Arterial blood specimen"/>
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               <collectedDateTime value="2021-03-15"/>
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                  <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">15-Mar-2021</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
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                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
               </coding>
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            <collection>
               <collectedDateTime value="2021-03-15"/>
            </collection>
         </Specimen>
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            <id value="fc17beaa-6487-4db8-8e6a-c4b08868de65"/>
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                  <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">15-Mar-2021</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="2021-03-15"/>
            </collection>
         </Specimen>
      </resource>
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         <Specimen>
            <id value="b0eee9d8-c212-45ff-bcbd-6aa3b0a44d77"/>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Platelet poor plasma specimen</td>
                        <td>
                           <span class="nb">15-Mar-2021</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="119362004"/>
                  <display value="Platelet poor plasma specimen"/>
               </coding>
            </type>
            <collection>
               <collectedDateTime value="2021-03-15"/>
            </collection>
         </Specimen>
      </resource>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/>
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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>15-Mar-2021</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Oxygen saturation in Arterial blood</td>
                        <td>88.9</td>
                        <td>95 - 100</td>
                        <td>L</td>
                        <td>%</td>
                     </tr>
                  </table>
               </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="2708-6"/>
                  <display value="Oxygen saturation in Arterial blood"/>
               </coding>
               <text value="Oxygen saturation in Arterial blood"/>
            </code>
            <subject>
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               <display value="Kristina Pocius"/>
            </subject>
            <effectiveDateTime value="2021-03-15T09:28:48Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
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               <unit value="%"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="%"/>
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            <interpretation>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="L"/>
                  <display value="Low"/>
               </coding>
            </interpretation>
            <specimen>
               <reference value="urn:uuid:35567bda-6c46-461d-82b2-c88742f1f7ce"/>
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            <referenceRange>
               <low>
                  <value value="95"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="%"/>
               </low>
               <high>
                  <value value="100"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="%"/>
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            </referenceRange>
         </Observation>
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