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            <title value="Laboratory Report"/>
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               <title value="Laboratory Report"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>03-MAY-2017</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>90.4</td>
                                 <td>70 - 140</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>13.7</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>1.8 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>143.7</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>4.4</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>104.9</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>22.2</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test = +</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>3.2 L</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>90.4</td>
                                 <td>70 - 140</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>13.7</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>1.1</td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.9</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>143.7</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.4</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>22.2</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
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                  <title value="Urinalysis"/>
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                        <h3>Urinalysis</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>03-MAY-2017</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>1.1</td>
                                 <td>0 - 5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Presence] in Urine by Test strip</td>
                                 <td>Urine glucose test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Urine by Test strip</td>
                                 <td>0.8</td>
                                 <td>0 - 4</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Presence] in Urine by Test strip</td>
                                 <td>Finding of bilirubin in urine</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Ketones [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>12.1 H</strong>
                                 </td>
                                 <td>0 - 4</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>6.1</td>
                                 <td>5.0 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>160.6 H</strong>
                                 </td>
                                 <td>0 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Protein [Presence] in Urine by Test strip</td>
                                 <td>Urine protein test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Nitrite [Presence] in Urine by Test strip</td>
                                 <td>Urine nitrite negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Presence] in Urine by Test strip</td>
                                 <td>Urine blood test = negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
                                 <td>Urine leukocyte test negative</td>
                                 <td/>
                                 <td/>
                              </tr>
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                  <title value="Specimen information"/>
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                        <h3>Specimen information</h3>
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                              <tr>
                                 <th>Test</th>
                                 <th>03-MAY-2017</th>
                                 <th>Specimen</th>
                                 <th/>
                              </tr>
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                           <tbody>
                              <tr>
                                 <td>Appearance of Urine</td>
                                 <td>Cloudy urine</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Odor of Urine</td>
                                 <td>Urine smell ammoniacal</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Clarity of Urine</td>
                                 <td>Translucent</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Color of Urine</td>
                                 <td>Brown color</td>
                                 <td>Urine</td>
                                 <td/>
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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>Renal function is mildly impaired (elevated serum creatinine). Urinalysis shows significant proteinuria, glycosuria, ketonuria, and abnormal appearance (cloudy, brown, ammoniacal), but no evidence of infection (negative nitrite/leukocytes). Low urine specific gravity suggests impaired concentrating ability. HbA1c is unexpectedly low despite glycosuria; consider possible analytical error or hemoglobinopathy. Findings suggest renal involvement, possibly diabetic nephropathy or acute tubular injury. Recommend clinical correlation and further nephrological evaluation.</td>
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                  <code value="HTEST"/>
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               <security>
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                  <code value="TRAIN"/>
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                        <td>Patricia Joubert</td>
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            <identifier>
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                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
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               <value value="7843-162355-8"/>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
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               <given value="Patricia"/>
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            <telecom>
               <system value="phone"/>
               <value value="0760047035"/>
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            <gender value="female"/>
            <birthDate value="1939-09-10"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="7, chemin Lenoir"/>
               <city value="Delahaye-la-Forêt"/>
               <postalCode value="50570"/>
               <country value="France"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            <subject>
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               <display value="Patricia Joubert"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="433144002"/>
                  <display value="Chronic kidney disease stage 3"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="157141000119108"/>
                  <display value="Proteinuria due to type 2 diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431856006"/>
                  <display value="Chronic kidney disease stage 2"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="90781000119102"/>
                  <display value="Microalbuminuria due to type 2 diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26929004"/>
                  <display value="Alzheimer's disease"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="401303003"/>
                  <display value="Acute ST segment elevation myocardial infarction"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="79619009"/>
                  <display value="Mitral valve stenosis"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="55822004"/>
                  <display value="Hyperlipidemia"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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            </reasonCode>
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            <specimen>
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            <specimen>
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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: 5ab9bf71-efa7-4529-b674-4cb23447af51</div>
            </text>
            <organization>
               <reference value="urn:uuid:21e3582e-642d-4ea2-900f-78c131e821e7"/>
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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: Maison Médical</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="d9a2a29a-35f3-4ad6-89bf-7d5edc28340f"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Maison Médical"/>
            <address>
               <country value="France"/>
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         </Organization>
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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>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">03-May-2017</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <system value="http://snomed.info/sct"/>
                  <code value="122592007"/>
                  <display value="Acellular blood (serum or plasma) specimen"/>
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            <collection>
               <collectedDateTime value="2017-05-03"/>
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                        <th>Collection Date</th>
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                     <tr>
                        <td>Urine specimen</td>
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                           <span class="nb">03-May-2017</span>
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                  </table>
               </div>
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                  <code value="122575003"/>
                  <display value="Urine specimen"/>
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               <collectedDateTime value="2017-05-03"/>
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                        <td>Whole blood specimen (specimen)</td>
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                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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                        <th>Test</th>
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                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
                        <td>90.4</td>
                        <td>70 - 140</td>
                        <td/>
                        <td>mg/dL</td>
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                  <code value="laboratory"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2345-7"/>
                  <display value="Glucose [Mass/volume] in Serum or Plasma"/>
               </coding>
               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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               <display value="Patricia Joubert"/>
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            <performer>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
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                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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                  <display value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
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                        <td>0.6 - 1.3</td>
                        <td>H</td>
                        <td>mg/dL</td>
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               </div>
            </text>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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                  <code value="2160-0"/>
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                  <code value="H"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>03-May-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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                        <td>8.6 - 10.3</td>
                        <td/>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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            <code>
               <coding>
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                  <code value="17861-6"/>
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               <text value="Calcium [Mass/volume] in Serum or Plasma"/>
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               <display value="Patricia Joubert"/>
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                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
                        <td>Urine leukocyte test negative</td>
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                  </table>
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            </text>
            <status value="final"/>
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               <coding>
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               <coding>
                  <system value="http://loinc.org"/>
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               <text value="Leukocyte esterase [Presence] in Urine by Test strip"/>
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                        <th>Test</th>
                        <th>03-May-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>3.2</td>
                        <td>4.0 - 5.6</td>
                        <td>L</td>
                        <td>%</td>
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                        <th>Test</th>
                        <th>03-May-2017</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>90.4</td>
                        <td>70 - 140</td>
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                        <th>03-May-2017</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>13.7</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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                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>1.1</td>
                        <td>0.6 - 1.3</td>
                        <td/>
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               <text value="Creatinine [Mass/volume] in Blood"/>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>9.9</td>
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                        <td/>
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                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>143.7</td>
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                        <td/>
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                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.4</td>
                        <td>3.5 - 5.1</td>
                        <td/>
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                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>104.9</td>
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               <coding>
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            <text>
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               <postalCode value="1000"/>
               <country value="Belgium"/>
            </address>
         </Practitioner>
      </resource>
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</Bundle>