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 <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="Chemistry"/> <code> <coding> <system value="http://loinc.org"/> <code value="18719-5"/> <display value="Chemistry studies (set)"/> </coding> <text value="Chemistry"/> </code> <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>20-JAN-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Ketones [Presence] in Urine by Test strip</td> <td>Urine ketone test negative</td> <td/> <td/> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:d71c2d87-da61-43da-a784-b27c184a48e4"/> </entry> </section> <section> <title value="Urinalysis"/> <code> <coding> <system value="http://loinc.org"/> <code value="18729-4"/> <display value="Urinalysis studies (set)"/> </coding> <text value="Urinalysis"/> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h3>Urinalysis</h3> <table class="hl7__eu__lab__report"> <thead> <tr> <th>Test</th> <th>20-JAN-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Glucose [Mass/volume] in Urine by Test strip</td> <td>10.8</td> <td>0 - 15</td> <td>mg/dL</td> </tr> <tr> <td>Specific gravity of Urine by Test strip</td> <td> <strong>1.0 L</strong> </td> <td>1.005 - 1.030</td> <td>{nominal}</td> </tr> <tr> <td>pH of Urine by Test strip</td> <td>7.0</td> <td>4.5 - 8.0</td> <td>pH</td> </tr> <tr> <td>Protein [Mass/volume] in Urine by Test strip</td> <td>7.4</td> <td>0 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Nitrite [Presence] in Urine by Test strip</td> <td>Urine nitrite positive</td> <td/> <td/> </tr> <tr> <td>Hemoglobin [Presence] in Urine by Test strip</td> <td>Urine blood test = +</td> <td/> <td/> </tr> <tr> <td>Leukocyte esterase [Presence] in Urine by Test strip</td> <td>Urine leukocyte test</td> <td/> <td/> </tr> <tr> <td>Leukocytes [#/area] in Urine sediment by Microscopy high power field</td> <td> <strong>34.0 H</strong> </td> <td>0 - 5</td> <td>/[HPF]</td> </tr> <tr> <td>Erythrocytes [#/area] in Urine sediment by Microscopy high power field</td> <td>2.4</td> <td>0 - 5</td> <td>/[HPF]</td> </tr> <tr> <td>Epithelial cells [#/area] in Urine sediment by Microscopy high power field</td> <td>2.0</td> <td>0 - 10</td> <td>/[HPF]</td> </tr> <tr> <td>Casts [Presence] in Urine sediment by Light microscopy</td> <td>Urine microscopy: no casts</td> <td/> <td/> </tr> <tr> <td>Mucus [Presence] in Urine sediment by Light microscopy</td> <td>Mucus in urine</td> <td/> <td/> </tr> <tr> <td>Bacteria [#/area] in Urine sediment by Microscopy high power field</td> <td>Finding of presence of bacteria</td> <td/> <td/> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:0d810659-574b-43dd-b88d-a835fa74dae1"/> </entry> <entry> <reference value="urn:uuid:496921c0-e4a1-491d-b622-db0d02e08544"/> </entry> <entry> <reference value="urn:uuid:52894712-4cd6-4ffe-bacf-90e125a8d9cd"/> </entry> <entry> <reference value="urn:uuid:910d7e2f-a525-4beb-9bc7-07e3318d08fa"/> </entry> <entry> <reference value="urn:uuid:d3862e7d-9948-4716-a0a4-d227142b6627"/> </entry> <entry> <reference value="urn:uuid:6c9a4573-2918-4aa2-a520-dede11e791f5"/> </entry> <entry> <reference value="urn:uuid:f9dda62a-787b-4e4b-824e-24701eccfe47"/> </entry> <entry> <reference value="urn:uuid:a84d7bb5-b17e-41ed-a287-e0cdc8e9d4ce"/> </entry> <entry> <reference value="urn:uuid:0720386b-090c-4314-b112-3b514c8fe76d"/> </entry> <entry> <reference value="urn:uuid:c052f9fb-52ab-49a9-b330-f9b186644aa5"/> </entry> <entry> <reference value="urn:uuid:3025de3f-8f02-488b-a79f-99a51a26898c"/> </entry> <entry> <reference value="urn:uuid:f7839847-a7ed-406c-802b-12e53b5988b8"/> </entry> <entry> <reference value="urn:uuid:bdc54203-7595-4e5b-8440-6dff05aff68a"/> </entry> </section> <section> <title value="Microbiology"/> <code> <coding> <system value="http://loinc.org"/> <code value="18725-2"/> <display value="Microbiology studies (set)"/> </coding> <text value="Microbiology"/> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h3>Microbiology</h3> <table class="hl7__eu__lab__report"> <thead> <tr> <th>Test</th> <th>20-JAN-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Bacteria identified in Urine by Culture</td> <td/> <td/> <td/> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:50e337d3-e32e-45c8-b21e-ca541ea61d6f"/> </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 urine findings indicate a urinary tract infection (UTI) with significant bacteriuria (>100,000 CFU/mL E. coli), positive nitrites, leukocyte esterase, hematuria, and marked pyuria. The low specific gravity may reflect dilute urine. No casts are seen, suggesting no upper tract involvement. Recommend clinical correlation and appropriate antibiotic therapy.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:efa69a07-9744-4c61-b0c7-0d20f2eba93e"/> <resource> <DiagnosticReport> <id value="efa69a07-9744-4c61-b0c7-0d20f2eba93e"/> <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:88eb05a9-2c8d-40e0-88b2-d4b14a88d19d"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="913c7d56-859e-4e88-ab33-e693cce9cb38"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="c16c7f98-0652-4ec2-85f6-7028950505d9"/> <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:b6821399-84ee-49f3-98eb-5d08e8da582b"/> <display value="Alexandria Julien"/> </subject> <specimen> <reference value="urn:uuid:4429a33e-50b1-431a-878a-fc9451d36970"/> </specimen> <specimen> <reference value="urn:uuid:87576e89-3a01-4958-85a5-ced632e077d4"/> </specimen> <result> <reference value="urn:uuid:0d810659-574b-43dd-b88d-a835fa74dae1"/> </result> <result> <reference value="urn:uuid:d71c2d87-da61-43da-a784-b27c184a48e4"/> </result> <result> <reference value="urn:uuid:496921c0-e4a1-491d-b622-db0d02e08544"/> </result> <result> <reference value="urn:uuid:52894712-4cd6-4ffe-bacf-90e125a8d9cd"/> </result> <result> <reference value="urn:uuid:910d7e2f-a525-4beb-9bc7-07e3318d08fa"/> </result> <result> <reference value="urn:uuid:d3862e7d-9948-4716-a0a4-d227142b6627"/> </result> <result> <reference value="urn:uuid:6c9a4573-2918-4aa2-a520-dede11e791f5"/> </result> <result> <reference value="urn:uuid:f9dda62a-787b-4e4b-824e-24701eccfe47"/> </result> <result> <reference value="urn:uuid:a84d7bb5-b17e-41ed-a287-e0cdc8e9d4ce"/> </result> <result> <reference value="urn:uuid:0720386b-090c-4314-b112-3b514c8fe76d"/> </result> <result> <reference value="urn:uuid:c052f9fb-52ab-49a9-b330-f9b186644aa5"/> </result> <result> <reference value="urn:uuid:3025de3f-8f02-488b-a79f-99a51a26898c"/> </result> <result> <reference value="urn:uuid:f7839847-a7ed-406c-802b-12e53b5988b8"/> </result> <result> <reference value="urn:uuid:bdc54203-7595-4e5b-8440-6dff05aff68a"/> </result> <result> <reference value="urn:uuid:50e337d3-e32e-45c8-b21e-ca541ea61d6f"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:b6821399-84ee-49f3-98eb-5d08e8da582b"/> <resource> <Patient> <id value="b6821399-84ee-49f3-98eb-5d08e8da582b"/> <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>Alexandria Julien</td> <td>female</td> <td>22-Mar-1959</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="FR"/> </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="1074-205969-3"/> </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="31b22bcf-cd4f-fdee-7d3b-9b5ae44266b0"/> </identifier> <name> <text value="Alexandria Julien"/> <family value="Julien"/> <given value="Alexandria"/> </name> <telecom> <system value="phone"/> <value value="+33 (0)1 46 99 14 09"/> </telecom> <gender value="female"/> <birthDate value="1959-03-22"/> <address> <use value="home"/> <type value="physical"/> <line value="253, rue de Clément"/> <city value="Sainte Catherine"/> <postalCode value="69590"/> <country value="France"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:19d0c7bd-66d6-48d1-b4fb-956b9b49f8e6"/> <resource> <ServiceRequest> <id value="19d0c7bd-66d6-48d1-b4fb-956b9b49f8e6"/> <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="1e53708f-1b7e-4dfe-99ce-74abe8cd79b2"/> </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:b6821399-84ee-49f3-98eb-5d08e8da582b"/> <display value="Alexandria Julien"/> </subject> <requester> <reference value="urn:uuid:62d2fed1-c10a-41d9-b508-47a153d68c44"/> </requester> <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="237602007"/> <display value="Metabolic syndrome X"/> </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="40055000"/> <display value="Chronic sinusitis"/> </coding> </reasonCode> <specimen> <reference value="urn:uuid:4429a33e-50b1-431a-878a-fc9451d36970"/> </specimen> <specimen> <reference value="urn:uuid:87576e89-3a01-4958-85a5-ced632e077d4"/> </specimen> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:62d2fed1-c10a-41d9-b508-47a153d68c44"/> <resource> <PractitionerRole> <id value="62d2fed1-c10a-41d9-b508-47a153d68c44"/> <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: 62d2fed1-c10a-41d9-b508-47a153d68c44</div> </text> <organization> <reference value="urn:uuid:d3a96854-9447-47f7-a6b1-5e72ca0bd3bc"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:d3a96854-9447-47f7-a6b1-5e72ca0bd3bc"/> <resource> <Organization> <id value="d3a96854-9447-47f7-a6b1-5e72ca0bd3bc"/> <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: Centre Médical et Pédagogique Jacques Arnaud</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="999547d1-3011-4858-aed2-eb1e5ffc0af2"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Centre Médical et Pédagogique Jacques Arnaud"/> <address> <line value="Rue Pasteur 5"/> <country value="France"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:4429a33e-50b1-431a-878a-fc9451d36970"/> <resource> <Specimen> <id value="4429a33e-50b1-431a-878a-fc9451d36970"/> <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>Urine specimen</td> <td> <span class="nb">20-Jan-2025</span> </td> </tr> </table> </div> </text> <type> <coding> <system value="http://snomed.info/sct"/> <code value="122575003"/> <display value="Urine specimen"/> </coding> </type> <collection> <collectedDateTime value="2025-01-20"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:87576e89-3a01-4958-85a5-ced632e077d4"/> <resource> <Specimen> <id value="87576e89-3a01-4958-85a5-ced632e077d4"/> <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>Urine sediment specimen (specimen)</td> <td> <span class="nb">20-Jan-2025</span> </td> </tr> </table> </div> </text> <type> <coding> <system value="http://snomed.info/sct"/> <code value="122567009"/> <display value="Urine sediment specimen (specimen)"/> </coding> </type> <collection> <collectedDateTime value="2025-01-20"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:0d810659-574b-43dd-b88d-a835fa74dae1"/> <resource> <Observation> <id value="0d810659-574b-43dd-b88d-a835fa74dae1"/> <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>20-Jan-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Glucose [Mass/volume] in Urine by Test strip</td> <td>10.8</td> <td>0 - 15</td> <td/> <td>mg/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="5792-7"/> <display value="Glucose [Mass/volume] in Urine by Test strip"/> </coding> <text value="Glucose [Mass/volume] in Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:b6821399-84ee-49f3-98eb-5d08e8da582b"/> <display value="Alexandria Julien"/> </subject> <effectiveDateTime value="2025-01-20T05:57:34Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="10.8"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:4429a33e-50b1-431a-878a-fc9451d36970"/> </specimen> <referenceRange> <low> <value value="0"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="15"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:d71c2d87-da61-43da-a784-b27c184a48e4"/> <resource> <Observation> <id value="d71c2d87-da61-43da-a784-b27c184a48e4"/> <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>20-Jan-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Ketones [Presence] in Urine by Test strip</td> <td>Urine ketone test negative</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="2514-8"/> <display value="Ketones [Presence] in Urine by Test strip"/> </coding> <text value="Ketones [Presence] in Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:b6821399-84ee-49f3-98eb-5d08e8da582b"/> <display value="Alexandria Julien"/> </subject> <effectiveDateTime value="2025-01-20T05:57:34Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="167287002"/> <display value="Urine ketone test negative"/> </coding> </valueCodeableConcept> <specimen> <reference value="urn:uuid:4429a33e-50b1-431a-878a-fc9451d36970"/> </specimen> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:496921c0-e4a1-491d-b622-db0d02e08544"/> <resource> <Observation> <id value="496921c0-e4a1-491d-b622-db0d02e08544"/> <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>20-Jan-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Specific gravity of Urine by Test strip</td> <td>1.0</td> <td>1.005 - 1.030</td> <td>L</td> <td>{nominal}</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="5811-5"/> <display 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