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               <title value="Laboratory Report"/>
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                        <h3>Chemistry</h3>
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                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>04-OCT-2015</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.4 H</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>81.7</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>7.5</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>1.1</td>
                                 <td>0.7 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.8</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>136.1</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.0</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>103.4</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>24.0</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
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               <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 laboratory results show good kidney and electrolyte function. However, the HbA1c is elevated (6.4%), indicating impaired glucose metabolism consistent with prediabetes or possible early diabetes, despite a normal fasting glucose. Clinical follow-up for glycemic control is recommended.</td>
                        </tr>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
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            <text>
               <status value="generated"/>
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                  <table class="hl7__ips">
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                        <td>Yves Rémy</td>
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                        <td>16-May-1948</td>
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               <extension url="code">
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                        <system value="urn:iso:std:iso:3166"/>
                        <code value="FR"/>
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               <value value="4543-821530-8"/>
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               <value value="+33 (0)1 53 38 28 55"/>
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            <gender value="male"/>
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               <use value="home"/>
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               <line value="rue de Turpin"/>
               <city value="Cannes"/>
               <postalCode value="06400"/>
               <country value="France"/>
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                  <display value="Chronic congestive heart failure"/>
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                  <code value="431856006"/>
                  <display value="Chronic kidney disease stage 2"/>
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            <reasonCode>
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                  <code value="90781000119102"/>
                  <display value="Microalbuminuria due to type 2 diabetes mellitus"/>
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               <coding>
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                  <code value="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="64859006"/>
                  <display value="Osteoporosis"/>
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            <reasonCode>
               <coding>
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                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
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                  <display value="Essential hypertension"/>
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                  <code value="90560007"/>
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                           <span class="nb">04-Oct-2015</span>
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                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
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               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="d619a48f-9ce2-4dd0-839b-79788b9184c6"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name>
               <family value="Ample"/>
               <given value="Ex"/>
               <prefix value="dr"/>
            </name>
            <address>
               <line value="Laboratoire Central Européenne"/>
               <line value="Boulevard du Jardin Botanique 32"/>
               <city value="Brussels"/>
               <postalCode value="1000"/>
               <country value="Belgium"/>
            </address>
         </Practitioner>
      </resource>
   </entry>
</Bundle>