<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>11-AUG-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td> <strong>7.6 H</strong> </td> <td>4.8 - 5.9</td> <td>%</td> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td> <strong>115.1 H</strong> </td> <td>70 - 100</td> <td>mg/dL</td> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>12.5</td> <td>7 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td>0.8</td> <td>0.7 - 1.3</td> <td>mg/dL</td> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>9.4</td> <td>8.5 - 10.5</td> <td>mg/dL</td> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>141.9</td> <td>135 - 145</td> <td>mmol/L</td> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>4.7</td> <td>3.5 - 5.1</td> <td>mmol/L</td> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td>103.6</td> <td>98 - 110</td> <td>mmol/L</td> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>24.4</td> <td>22 - 29</td> <td>mmol/L</td> </tr> <tr> <td>Cholesterol [Mass/volume] in Serum or Plasma</td> <td> <strong>231.9 H</strong> </td> <td>125 - 200</td> <td>mg/dL</td> </tr> <tr> <td>Triglyceride [Mass/volume] in Serum or Plasma</td> <td> <strong>153.0 H</strong> </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>157.5 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>43.7</td> <td>40 - 60</td> <td>mg/dL</td> </tr> <tr> <td>Microalbumin/Creatinine [Mass Ratio] in Urine</td> <td>12.5</td> <td>0 - 30</td> <td>mg/g</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:e5ff9f64-325f-4097-a6fd-12227644c864"/> </entry> <entry> <reference value="urn:uuid:9b2ace01-7390-446d-a681-08215fd248d0"/> </entry> <entry> <reference value="urn:uuid:b503392e-08ad-466a-9a64-a106aef906b7"/> </entry> <entry> <reference value="urn:uuid:3294b357-2e3b-4cfa-8554-2ac5c460b65d"/> </entry> <entry> <reference value="urn:uuid:57859e84-f626-4fb6-b96e-15834c4e614d"/> </entry> <entry> <reference value="urn:uuid:ed34633d-bb7c-4fe2-98b0-6aeabfc1b5ae"/> </entry> <entry> <reference value="urn:uuid:effd5856-9703-4b67-877c-5eb7f63994e0"/> </entry> <entry> <reference value="urn:uuid:e193a783-23f0-4850-9767-e09817a2382c"/> </entry> <entry> <reference value="urn:uuid:bdda263e-daea-4597-b6cb-70ba29b0090d"/> </entry> <entry> <reference value="urn:uuid:72072937-4889-4da2-ab02-38d19c6878a1"/> </entry> <entry> <reference value="urn:uuid:51c27073-e855-44f7-a4fe-a0408f063505"/> </entry> <entry> <reference value="urn:uuid:c87f3068-4c4a-46b7-8262-bb718710cb7f"/> </entry> <entry> <reference value="urn:uuid:fbdc99b0-07e8-4734-aefc-099db9799e1f"/> </entry> <entry> <reference value="urn:uuid:d0cef825-31fa-4c90-b5aa-4f8c3d357c0d"/> </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 patient shows poor glycemic control (elevated HbA1c and fasting glucose), and dyslipidemia with high total cholesterol, LDL, and triglycerides. Renal function, electrolytes, and microalbumin/creatinine ratio are within normal limits. Recommend optimization of diabetes and lipid management to reduce cardiovascular risk. No evidence of renal impairment at this time.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:16f3fda0-5f05-4d28-ad4f-40288d7770b8"/> <resource> <DiagnosticReport> <id value="16f3fda0-5f05-4d28-ad4f-40288d7770b8"/> <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:c26a315e-cf79-4ebf-85ec-ae2de9a7e88c"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="31ba3d2a-e7ce-41a1-8de6-63460a889542"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="5c8b3325-678a-41c1-a73b-e8ed2a6592c7"/> <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:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <specimen> <reference value="urn:uuid:f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/> </specimen> <specimen> <reference value="urn:uuid:7dbba9d8-2e38-418f-9a98-586c4766771b"/> </specimen> <specimen> <reference value="urn:uuid:01145c0a-e178-431d-855c-717872176bf7"/> </specimen> <result> <reference value="urn:uuid:e5ff9f64-325f-4097-a6fd-12227644c864"/> </result> <result> <reference value="urn:uuid:9b2ace01-7390-446d-a681-08215fd248d0"/> </result> <result> <reference value="urn:uuid:b503392e-08ad-466a-9a64-a106aef906b7"/> </result> <result> <reference value="urn:uuid:3294b357-2e3b-4cfa-8554-2ac5c460b65d"/> </result> <result> <reference value="urn:uuid:57859e84-f626-4fb6-b96e-15834c4e614d"/> </result> <result> <reference value="urn:uuid:ed34633d-bb7c-4fe2-98b0-6aeabfc1b5ae"/> </result> <result> <reference value="urn:uuid:effd5856-9703-4b67-877c-5eb7f63994e0"/> </result> <result> <reference value="urn:uuid:e193a783-23f0-4850-9767-e09817a2382c"/> </result> <result> <reference value="urn:uuid:bdda263e-daea-4597-b6cb-70ba29b0090d"/> </result> <result> <reference value="urn:uuid:72072937-4889-4da2-ab02-38d19c6878a1"/> </result> <result> <reference value="urn:uuid:51c27073-e855-44f7-a4fe-a0408f063505"/> </result> <result> <reference value="urn:uuid:c87f3068-4c4a-46b7-8262-bb718710cb7f"/> </result> <result> <reference value="urn:uuid:fbdc99b0-07e8-4734-aefc-099db9799e1f"/> </result> <result> <reference value="urn:uuid:d0cef825-31fa-4c90-b5aa-4f8c3d357c0d"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <resource> <Patient> <id value="54e62547-3c40-4c1b-a1a9-825522469957"/> <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>Stanley Johnson</td> <td>male</td> <td>05-Mar-1941</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="GB"/> </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="7188-531997-1"/> </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="f90c7759-33ef-97b9-b733-c10c87087248"/> </identifier> <name> <text value="Stanley Johnson"/> <family value="Johnson"/> <given value="Stanley"/> </name> <telecom> <system value="phone"/> <value value="+44161 496 0087"/> </telecom> <gender value="male"/> <birthDate value="1941-03-05"/> <address> <use value="home"/> <type value="physical"/> <line value="289 Smith garden"/> <city value="Terencebury"/> <postalCode value="TN1"/> <country value="United Kingdom"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:68d2b8c1-5b3c-41d8-bbed-0e1fa5b48e6d"/> <resource> <ServiceRequest> <id value="68d2b8c1-5b3c-41d8-bbed-0e1fa5b48e6d"/> <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="2e123d5e-de8e-4497-8a89-6c62a2d172c9"/> </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:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <requester> <reference value="urn:uuid:cbfd2fde-2356-4959-9f10-dc410f19d684"/> </requester> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="127013003"/> <display value="Disorder of kidney due to diabetes mellitus"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="431855005"/> <display value="Chronic kidney disease stage 1"/> </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="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="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="64859006"/> <display value="Osteoporosis"/> </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="73430006"/> <display value="Sleep apnea"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="39898005"/> <display value="Sleep disorder"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="271737000"/> <display value="Anemia"/> </coding> </reasonCode> <specimen> <reference value="urn:uuid:f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/> </specimen> <specimen> <reference value="urn:uuid:7dbba9d8-2e38-418f-9a98-586c4766771b"/> </specimen> <specimen> <reference value="urn:uuid:01145c0a-e178-431d-855c-717872176bf7"/> </specimen> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:cbfd2fde-2356-4959-9f10-dc410f19d684"/> <resource> <PractitionerRole> <id value="cbfd2fde-2356-4959-9f10-dc410f19d684"/> <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: cbfd2fde-2356-4959-9f10-dc410f19d684</div> </text> <organization> <reference value="urn:uuid:71c8e10d-e75f-49e9-ab8e-2b1c585c11a4"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:71c8e10d-e75f-49e9-ab8e-2b1c585c11a4"/> <resource> <Organization> <id value="71c8e10d-e75f-49e9-ab8e-2b1c585c11a4"/> <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: Evelina Children's Hospital</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="14a2c999-952b-4935-b4c1-97c3a16a2a89"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Evelina Children's Hospital"/> <address> <city value="London"/> <postalCode value="SE1 7"/> <country value="United Kingdom"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/> <resource> <Specimen> <id value="f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/> <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>Whole blood specimen (specimen)</td> <td> <span class="nb">11-Aug-2018</span> </td> </tr> </table> </div> </text> <type> <coding> <system value="http://snomed.info/sct"/> <code value="258580003"/> <display value="Whole blood specimen (specimen)"/> </coding> </type> <collection> <collectedDateTime value="2018-08-11"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:7dbba9d8-2e38-418f-9a98-586c4766771b"/> <resource> <Specimen> <id value="7dbba9d8-2e38-418f-9a98-586c4766771b"/> <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>Acellular blood (serum or plasma) specimen</td> <td> <span class="nb">11-Aug-2018</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="2018-08-11"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:01145c0a-e178-431d-855c-717872176bf7"/> <resource> <Specimen> <id value="01145c0a-e178-431d-855c-717872176bf7"/> <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">11-Aug-2018</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="2018-08-11"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:e5ff9f64-325f-4097-a6fd-12227644c864"/> <resource> <Observation> <id value="e5ff9f64-325f-4097-a6fd-12227644c864"/> <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>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td>7.6</td> <td>4.8 - 5.9</td> <td>H</td> <td>%</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="4548-4"/> <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/> </coding> <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime value="2018-08-11T08:44:37Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="7.6"/> <unit value="%"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="H"/> <display value="High"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/> </specimen> <referenceRange> <low> <value value="4.8"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </low> <high> <value value="5.9"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:9b2ace01-7390-446d-a681-08215fd248d0"/> <resource> <Observation> <id value="9b2ace01-7390-446d-a681-08215fd248d0"/> <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>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>115.1</td> <td>70 - 100</td> <td>H</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="2339-0"/> <display value="Glucose [Mass/volume] in Blood"/> </coding> <text value="Glucose [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime value="2018-08-11T08:44:37Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="115.1"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="H"/> <display value="High"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/> </specimen> <referenceRange> <low> <value value="70"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="100"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:b503392e-08ad-466a-9a64-a106aef906b7"/> <resource> <Observation> <id value="b503392e-08ad-466a-9a64-a106aef906b7"/> <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>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>12.5</td> <td>7 - 20</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="6299-2"/> <display value="Urea nitrogen [Mass/volume] in Blood"/> </coding> <text value="Urea nitrogen [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime value="2018-08-11T08:44:37Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="12.5"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/> </specimen> <referenceRange> <low> <value value="7"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="20"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:3294b357-2e3b-4cfa-8554-2ac5c460b65d"/> <resource> <Observation> <id value="3294b357-2e3b-4cfa-8554-2ac5c460b65d"/> <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>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td>0.8</td> <td>0.7 - 1.3</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="38483-4"/> <display value="Creatinine [Mass/volume] in Blood"/> </coding> <text value="Creatinine [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime value="2018-08-11T08:44:37Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="0.8"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/> </specimen> <referenceRange> <low> <value value="0.7"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="1.3"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:57859e84-f626-4fb6-b96e-15834c4e614d"/> <resource> <Observation> <id value="57859e84-f626-4fb6-b96e-15834c4e614d"/> <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>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>9.4</td> <td>8.5 - 10.5</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="49765-1"/> <display value="Calcium [Mass/volume] in Blood"/> </coding> <text value="Calcium [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime value="2018-08-11T08:44:37Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="9.4"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/> </specimen> <referenceRange> <low> <value value="8.5"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="10.5"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:ed34633d-bb7c-4fe2-98b0-6aeabfc1b5ae"/> <resource> <Observation> <id value="ed34633d-bb7c-4fe2-98b0-6aeabfc1b5ae"/> <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>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>141.9</td> <td>135 - 145</td> <td/> <td>mmol/L</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="2947-0"/> <display value="Sodium [Moles/volume] in Blood"/> </coding> <text value="Sodium [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime 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<th>Test</th> <th>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>4.7</td> <td>3.5 - 5.1</td> <td/> <td>mmol/L</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="6298-4"/> <display value="Potassium [Moles/volume] in Blood"/> </coding> <text value="Potassium [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime value="2018-08-11T08:44:37Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="4.7"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference 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value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="2069-3"/> <display value="Chloride [Moles/volume] in Blood"/> </coding> <text value="Chloride [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime value="2018-08-11T08:44:37Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="103.6"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/> </specimen> <referenceRange> <low> <value value="98"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="110"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:bdda263e-daea-4597-b6cb-70ba29b0090d"/> <resource> <Observation> <id value="bdda263e-daea-4597-b6cb-70ba29b0090d"/> <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>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>24.4</td> <td>22 - 29</td> <td/> <td>mmol/L</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="20565-8"/> <display value="Carbon dioxide, total [Moles/volume] in Blood"/> </coding> <text value="Carbon dioxide, total [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime value="2018-08-11T08:44:37Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="24.4"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/> </specimen> <referenceRange> <low> <value value="22"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="29"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:72072937-4889-4da2-ab02-38d19c6878a1"/> <resource> <Observation> <id value="72072937-4889-4da2-ab02-38d19c6878a1"/> <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>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Cholesterol [Mass/volume] in Serum or Plasma</td> <td>231.9</td> <td>125 - 200</td> <td>H</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="2093-3"/> <display value="Cholesterol [Mass/volume] in Serum or Plasma"/> </coding> <text value="Cholesterol [Mass/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime 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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>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Triglyceride [Mass/volume] in Serum or Plasma</td> <td>153.0</td> <td>0 - 149</td> <td>H</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="2571-8"/> <display value="Triglyceride [Mass/volume] in Serum or Plasma"/> </coding> <text value="Triglyceride [Mass/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime 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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>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td> <td>157.5</td> <td>0 - 100</td> <td>H</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="18262-6"/> <display value="Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"/> </coding> <text value="Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display 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<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>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td> <td>43.7</td> <td>40 - 60</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="2085-9"/> <display value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/> </coding> <text value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime 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<th>11-Aug-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Microalbumin/Creatinine [Mass Ratio] in Urine</td> <td>12.5</td> <td>0 - 30</td> <td/> <td>mg/g</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="14959-1"/> <display value="Microalbumin/Creatinine [Mass Ratio] in Urine"/> </coding> <text value="Microalbumin/Creatinine [Mass Ratio] in Urine"/> </code> <subject> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> <display value="Stanley Johnson"/> </subject> <effectiveDateTime value="2018-08-11T08:44:37Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="12.5"/> <unit value="mg/g"/> <system value="http://unitsofmeasure.org"/> <code value="mg/g"/> </valueQuantity> <specimen> <reference 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<id value="d427db81-6d5e-4f7e-b978-f24a4d8d554a"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div> </text> <target> <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/> </target> <target> <reference value="urn:uuid:c26a315e-cf79-4ebf-85ec-ae2de9a7e88c"/> </target> <target> <reference value="urn:uuid:dd0ce6a7-509e-4d71-ae54-7c51192fdd6a"/> </target> <target> <reference value="urn:uuid:119643a2-154b-4661-83cf-20c114b74f45"/> </target> <target> <reference value="urn:uuid:cbfd2fde-2356-4959-9f10-dc410f19d684"/> </target> <target> <reference value="urn:uuid:71c8e10d-e75f-49e9-ab8e-2b1c585c11a4"/> </target> <recorded value="2018-08-11T10:44:37Z"/> <policy value="https://synderai.net/synderai-synthetic-data-policy"/> <reason> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TRAIN"/> <display value="training"/> </coding> <text 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dd0ce6a7-509e-4d71-ae54-7c51192fdd6a</div> </text> <practitioner> <reference value="urn:uuid:119643a2-154b-4661-83cf-20c114b74f45"/> </practitioner> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:119643a2-154b-4661-83cf-20c114b74f45"/> <resource> <Practitioner> <id value="119643a2-154b-4661-83cf-20c114b74f45"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="77f60a88-7d94-4db5-96b9-3659a32331f2"/> <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"/> 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            <confidentiality value="N"/>
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                     <code value="26436-6"/>
                     <display value="Laboratory studies (set)"/>
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               <section>
                  <title value="Chemistry"/>
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                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
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                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>11-AUG-2018</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>7.6 H</strong>
                                 </td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>115.1 H</strong>
                                 </td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>12.5</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>0.8</td>
                                 <td>0.7 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.4</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>141.9</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.7</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>103.6</td>
                                 <td>98 - 110</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>24.4</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>231.9 H</strong>
                                 </td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>153.0 H</strong>
                                 </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>157.5 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>43.7</td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Microalbumin/Creatinine [Mass Ratio] in Urine</td>
                                 <td>12.5</td>
                                 <td>0 - 30</td>
                                 <td>mg/g</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
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            </section>
            <section>
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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 poor glycemic control (elevated HbA1c and fasting glucose), and dyslipidemia with high total cholesterol, LDL, and triglycerides. Renal function, electrolytes, and microalbumin/creatinine ratio are within normal limits. Recommend optimization of diabetes and lipid management to reduce cardiovascular risk. No evidence of renal impairment at this time.</td>
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               <line value="289 Smith garden"/>
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                  <code value="108252007"/>
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               <reference value="urn:uuid:01145c0a-e178-431d-855c-717872176bf7"/>
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   <entry>
      <fullUrl value="urn:uuid:cbfd2fde-2356-4959-9f10-dc410f19d684"/>
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         <PractitionerRole>
            <id value="cbfd2fde-2356-4959-9f10-dc410f19d684"/>
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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: cbfd2fde-2356-4959-9f10-dc410f19d684</div>
            </text>
            <organization>
               <reference value="urn:uuid:71c8e10d-e75f-49e9-ab8e-2b1c585c11a4"/>
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   <entry>
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         <Organization>
            <id value="71c8e10d-e75f-49e9-ab8e-2b1c585c11a4"/>
            <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: Evelina Children's Hospital</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="14a2c999-952b-4935-b4c1-97c3a16a2a89"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            <name value="Evelina Children's Hospital"/>
            <address>
               <city value="London"/>
               <postalCode value="SE1 7"/>
               <country value="United Kingdom"/>
            </address>
         </Organization>
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   <entry>
      <fullUrl value="urn:uuid:f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/>
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         <Specimen>
            <id value="f1a8f1de-7c4d-4a9e-b120-7e058821ba05"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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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>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">11-Aug-2018</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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            <collection>
               <collectedDateTime value="2018-08-11"/>
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   <entry>
      <fullUrl value="urn:uuid:7dbba9d8-2e38-418f-9a98-586c4766771b"/>
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         <Specimen>
            <id value="7dbba9d8-2e38-418f-9a98-586c4766771b"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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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">11-Aug-2018</span>
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                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="122592007"/>
                  <display value="Acellular blood (serum or plasma) specimen"/>
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            <collection>
               <collectedDateTime value="2018-08-11"/>
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   <entry>
      <fullUrl value="urn:uuid:01145c0a-e178-431d-855c-717872176bf7"/>
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         <Specimen>
            <id value="01145c0a-e178-431d-855c-717872176bf7"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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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>Urine specimen</td>
                        <td>
                           <span class="nb">11-Aug-2018</span>
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                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="122575003"/>
                  <display value="Urine specimen"/>
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            <collection>
               <collectedDateTime value="2018-08-11"/>
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   <entry>
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         <Observation>
            <id value="e5ff9f64-325f-4097-a6fd-12227644c864"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>11-Aug-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>7.6</td>
                        <td>4.8 - 5.9</td>
                        <td>H</td>
                        <td>%</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="4548-4"/>
                  <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
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               <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
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            <subject>
               <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/>
               <display value="Stanley Johnson"/>
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            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
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                  <code value="H"/>
                  <display value="High"/>
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                  <value value="4.8"/>
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                  <code value="%"/>
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               <high>
                  <value value="5.9"/>
                  <system value="http://unitsofmeasure.org"/>
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         <Observation>
            <id value="9b2ace01-7390-446d-a681-08215fd248d0"/>
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            <text>
               <status value="generated"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>11-Aug-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>115.1</td>
                        <td>70 - 100</td>
                        <td>H</td>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2339-0"/>
                  <display value="Glucose [Mass/volume] in Blood"/>
               </coding>
               <text value="Glucose [Mass/volume] in Blood"/>
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            <subject>
               <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/>
               <display value="Stanley Johnson"/>
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            <performer>
               <display value="The Central European Lab"/>
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               <code value="mg/dL"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="H"/>
                  <display value="High"/>
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            <specimen>
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               <low>
                  <value value="70"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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               <high>
                  <value value="100"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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   <entry>
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         <Observation>
            <id value="b503392e-08ad-466a-9a64-a106aef906b7"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>11-Aug-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>12.5</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6299-2"/>
                  <display value="Urea nitrogen [Mass/volume] in Blood"/>
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               <text value="Urea nitrogen [Mass/volume] in Blood"/>
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            <subject>
               <reference value="urn:uuid:54e62547-3c40-4c1b-a1a9-825522469957"/>
               <display value="Stanley Johnson"/>
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            <performer>
               <display value="The Central European Lab"/>
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               <code value="mg/dL"/>
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                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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               <high>
                  <value value="20"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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      <fullUrl value="urn:uuid:3294b357-2e3b-4cfa-8554-2ac5c460b65d"/>
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         <Observation>
            <id value="3294b357-2e3b-4cfa-8554-2ac5c460b65d"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>11-Aug-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>0.8</td>
                        <td>0.7 - 1.3</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="38483-4"/>
                  <display value="Creatinine [Mass/volume] in Blood"/>
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               <text value="Creatinine [Mass/volume] in Blood"/>
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            <subject>
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            <valueQuantity>
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               <code value="mg/dL"/>
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                  <value value="1.3"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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   <entry>
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         <Observation>
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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>11-Aug-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>9.4</td>
                        <td>8.5 - 10.5</td>
                        <td/>
                        <td>mg/dL</td>
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               </div>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="49765-1"/>
                  <display value="Calcium [Mass/volume] in Blood"/>
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               <text value="Calcium [Mass/volume] in Blood"/>
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                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>11-Aug-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>141.9</td>
                        <td>135 - 145</td>
                        <td/>
                        <td>mmol/L</td>
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            </text>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2947-0"/>
                  <display value="Sodium [Moles/volume] in Blood"/>
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               <text value="Sodium [Moles/volume] in Blood"/>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>11-Aug-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.7</td>
                        <td>3.5 - 5.1</td>
                        <td/>
                        <td>mmol/L</td>
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                  <code value="6298-4"/>
                  <display value="Potassium [Moles/volume] in Blood"/>
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               <text value="Potassium [Moles/volume] in Blood"/>
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            <subject>
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            <performer>
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                  <system value="http://unitsofmeasure.org"/>
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   <entry>
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            <text>
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                  <table class="hl7__eu__lab__report">
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