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   <timestamp value="2015-12-10T16:27:18Z"/>
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               <text value="Laboratory Report"/>
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                  <display value="Laboratory studies (set)"/>
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               <reference value="urn:uuid:6dafba0f-932c-44a9-b134-8d84d64d7ab6"/>
               <display value="Elaine Green"/>
            </subject>
            <date value="2015-12-10T16:27:18Z"/>
            <author>
               <reference value="urn:uuid:d0e346d7-c7c9-4794-95b8-9b7884a9a460"/>
            </author>
            <title value="Laboratory Report"/>
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
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               <section>
                  <title value="Chemistry"/>
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                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>10-DEC-2015</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.2 H</strong>
                                 </td>
                                 <td>4.8 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>70.9</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>8.6</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>0.6</td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>8.7</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>138.9</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.1</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>104.9</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>21.8 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>222.3 H</strong>
                                 </td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>115.7</td>
                                 <td>0 - 149</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td>
                                 <td>
                                    <strong>143.6 H</strong>
                                 </td>
                                 <td>0 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td>
                                 <td>55.6</td>
                                 <td>40 - 90</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Microalbumin/Creatinine [Mass Ratio] in Urine</td>
                                 <td>8.1</td>
                                 <td>0 - 30</td>
                                 <td>mg/g</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
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                  <entry>
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            <section>
               <title value="Annotation comment"/>
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                     <display value="Annotation comment [Interpretation] Narrative"/>
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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 mildly elevated HbA1c, indicating suboptimal long-term glucose control (prediabetes/early diabetes). LDL and total cholesterol are high, increasing cardiovascular risk. All other parameters, including renal function and electrolytes, are within normal limits except for a slightly low total CO₂, which may suggest mild metabolic acidosis but is of unclear clinical significance. Recommend further evaluation and management of dyslipidemia and glycemic control.</td>
                        </tr>
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            <result>
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         </DiagnosticReport>
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               <security>
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                  <code value="TRAIN"/>
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                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
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            </meta>
            <text>
               <status value="generated"/>
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                  <table class="hl7__ips">
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                        <td>Elaine Green</td>
                        <td>female</td>
                        <td>05-Aug-1942</td>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="9467-500577-4"/>
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            <identifier>
               <type>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <value value="c433235c-1136-ad56-17ad-198ccaf426de"/>
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            <name>
               <text value="Elaine Green"/>
               <family value="Green"/>
               <given value="Elaine"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+44(0)114 4960474"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1942-08-05"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Studio 30N"/>
               <line value="Maurice lakes"/>
               <city value="East Georginastad"/>
               <postalCode value="M1"/>
               <country value="United Kingdom"/>
            </address>
         </Patient>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
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               <display value="Elaine Green"/>
            </subject>
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                  <display value="Macular edema and retinopathy due to type 2 diabetes mellitus"/>
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               <coding>
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                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1551000119108"/>
                  <display value="Nonproliferative retinopathy due to type 2 diabetes mellitus"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="64859006"/>
                  <display value="Osteoporosis"/>
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                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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                  <display value="Hyperglycemia"/>
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                  <display value="Hypertriglyceridemia"/>
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                  <code value="237602007"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Cornbrook Medical Practice</div>
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               <city value="Manchester"/>
               <postalCode value="M3 3"/>
               <country value="United Kingdom"/>
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                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
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            </text>
            <type>
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                        <th>Specimen</th>
                        <th>Collection Date</th>
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                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">10-Dec-2015</span>
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               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="122592007"/>
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               <collectedDateTime value="2015-12-10"/>
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                  <table class="hl7__eu__lab__report">
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                        <td>Urine specimen</td>
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                           <span class="nb">10-Dec-2015</span>
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            </text>
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               <coding>
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                        <th>Test</th>
                        <th>10-Dec-2015</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
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                        <td>4.8 - 5.6</td>
                        <td>H</td>
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                        <th>Test</th>
                        <th>10-Dec-2015</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>70.9</td>
                        <td>70 - 100</td>
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                        <th>10-Dec-2015</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>8.6</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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               <text value="Urea nitrogen [Mass/volume] in Blood"/>
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                        <th>10-Dec-2015</th>
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                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>0.6</td>
                        <td>0.6 - 1.3</td>
                        <td/>
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               <text value="Creatinine [Mass/volume] in Blood"/>
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                        <th>10-Dec-2015</th>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>8.7</td>
                        <td>8.5 - 10.5</td>
                        <td/>
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                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>138.9</td>
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                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.1</td>
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                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>104.9</td>
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                        <th>10-Dec-2015</th>
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                        <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                        <td>21.8</td>
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                        <td>mmol/L</td>
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