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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>05-SEP-2018</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>66.1 L</strong>
                                 </td>
                                 <td>70 - 140</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>14.3</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.0 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>9.3</td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>139.9</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>4.3</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>106.1</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>21.9 L</strong>
                                 </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>
                                    <strong>66.1 L</strong>
                                 </td>
                                 <td>70 - 140</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>14.3</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>1.5 H</strong>
                                 </td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.3</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>139.9</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.3</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>106.1</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>21.9 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
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                  <title value="Urinalysis"/>
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                        <h3>Urinalysis</h3>
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                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>05-SEP-2018</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
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                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>1.7</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>0.6</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>13.3 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>6.5</td>
                                 <td>5.0 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>224.8 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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                                 <th>Test</th>
                                 <th>05-SEP-2018</th>
                                 <th>Specimen</th>
                                 <th/>
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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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               <title value="Annotation comment"/>
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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 mild renal impairment (elevated creatinine), hypoglycemia, low HbA1c, metabolic acidosis (low CO₂), and significant proteinuria with ketonuria. Urine is cloudy, brown, and has abnormal odor, but no evidence of infection (negative nitrite/leukocytes). Findings suggest possible acute or chronic kidney dysfunction, poor glycemic control, and possible dehydration or catabolic state. Clinical correlation and further evaluation are recommended.</td>
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                  <code value="HTEST"/>
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                  <code value="TRAIN"/>
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                        <td>Patricia Joubert</td>
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                  </valueCodeableConcept>
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            <identifier>
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                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
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               <value value="ba17a51d-e5e2-2da2-b64f-9361f1a480e6"/>
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               <text value="Patricia Joubert"/>
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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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            <status value="active"/>
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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>
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                  <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>
            <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>
            <reasonCode>
               <coding>
                  <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>
            <specimen>
               <reference value="urn:uuid:0ee389ef-4266-4919-aab7-d2d561e0660e"/>
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            <specimen>
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            <specimen>
               <reference value="urn:uuid:8362dbf7-a8df-4930-b201-e830007d8ea6"/>
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         <PractitionerRole>
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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: 22432a34-e6af-43cb-869f-bb7baa533fe9</div>
            </text>
            <organization>
               <reference value="urn:uuid:e24daa8b-cfed-49f7-a35d-fa7894635ba3"/>
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         <Organization>
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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="defb4b33-2b51-4588-b477-301adb344601"/>
               <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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      <fullUrl value="urn:uuid:0ee389ef-4266-4919-aab7-d2d561e0660e"/>
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         <Specimen>
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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">05-Sep-2018</span>
                        </td>
                     </tr>
                  </table>
               </div>
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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="2018-09-05"/>
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         <Specimen>
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                     <tr>
                        <td>Urine specimen</td>
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                           <span class="nb">05-Sep-2018</span>
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                  </table>
               </div>
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                  <code value="122575003"/>
                  <display value="Urine specimen"/>
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               <collectedDateTime value="2018-09-05"/>
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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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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>05-Sep-2018</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
                        <td>66.1</td>
                        <td>70 - 140</td>
                        <td>L</td>
                        <td>mg/dL</td>
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                  </table>
               </div>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <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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                  <code value="L"/>
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                        <th>Test</th>
                        <th>05-Sep-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                        <td>14.3</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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               </div>
            </text>
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                  <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="3094-0"/>
                  <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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               <display value="Patricia Joubert"/>
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               <display value="The Central European Lab"/>
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               <value value="14.3"/>
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               <code value="mg/dL"/>
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            <specimen>
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                  <value value="20"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>05-Sep-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <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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                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <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="2160-0"/>
                  <display value="Creatinine [Mass/volume] in Serum or Plasma"/>
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               <text value="Creatinine [Mass/volume] in Serum or Plasma"/>
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            <subject>
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               <display value="Patricia Joubert"/>
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            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="2"/>
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               <code value="mg/dL"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="H"/>
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            <specimen>
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               <low>
                  <value value="0.6"/>
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                  <code value="mg/dL"/>
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               <high>
                  <value value="1.3"/>
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                  <code value="mg/dL"/>
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   <entry>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>05-Sep-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
                        <td>9.3</td>
                        <td>8.6 - 10.3</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <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="17861-6"/>
                  <display value="Calcium [Mass/volume] in Serum or Plasma"/>
               </coding>
               <text value="Calcium [Mass/volume] in Serum or Plasma"/>
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               <display value="Patricia Joubert"/>
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                        <td>Sodium [Moles/volume] in Serum or Plasma</td>
                        <td>139.9</td>
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                        <td>mmol/L</td>
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                        <td>Potassium [Moles/volume] in Serum or Plasma</td>
                        <td>4.3</td>
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                        <td>mmol/L</td>
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                        <td>Chloride [Moles/volume] in Serum or Plasma</td>
                        <td>106.1</td>
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                        <td>mmol/L</td>
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                        <td>21.9</td>
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                        <th>05-Sep-2018</th>
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                        <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
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                        <td>Calcium [Mass/volume] in Blood</td>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="20565-8"/>
                  <display value="Carbon dioxide, total [Moles/volume] in Blood"/>
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               <text value="Carbon dioxide, total [Moles/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:f014e4c1-05c0-4251-92f4-2e70537cecdc"/>
               <display value="Patricia Joubert"/>
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            <effectiveDateTime value="2018-09-05T06:42:07Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="21.9"/>
               <unit value="mmol/L"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mmol/L"/>
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            <interpretation>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="L"/>
                  <display value="Low"/>
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            <specimen>
               <reference value="urn:uuid:8362dbf7-a8df-4930-b201-e830007d8ea6"/>
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            <referenceRange>
               <low>
                  <value value="22"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
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               <high>
                  <value value="29"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">SYNDERAI Synthetic Generator v5.0</div>
            </text>
            <status value="active"/>
            <distinctIdentifier value="synderai-generator-50"/>
            <manufacturer value="SYNDERAI Project"/>
            <deviceName>
               <name value="SYNDERAI Synthetic Generator"/>
               <type value="manufacturer-name"/>
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            <version>
               <value value="5.0"/>
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         <Provenance>
            <id value="a2ed25bc-0699-4496-bd55-be887fc02f76"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div>
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            <target>
               <reference value="urn:uuid:f014e4c1-05c0-4251-92f4-2e70537cecdc"/>
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            <target>
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            <target>
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            <target>
               <reference value="urn:uuid:22432a34-e6af-43cb-869f-bb7baa533fe9"/>
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            <target>
               <reference value="urn:uuid:e24daa8b-cfed-49f7-a35d-fa7894635ba3"/>
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            <recorded value="2018-09-05T08:42:07Z"/>
            <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 value="Interoperability Testing and Training (non-clinical use)"/>
            </reason>
            <activity>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                  <code value="CREATE"/>
                  <display value="create"/>
               </coding>
               <text value="Synthetic Example Data Generation"/>
            </activity>
            <agent>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
                     <code value="author"/>
                     <display value="Author"/>
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                  <text value="author"/>
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               <who>
                  <reference value="urn:uuid:22416e1f-8599-47a5-a1e1-95ef9656799d"/>
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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">Laboratory Role Id: 4ebfaf75-b10e-463c-b78b-ba1f0a576047</div>
            </text>
            <practitioner>
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            <meta>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>
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               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
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                  <display value="HL7 Europe"/>
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            <name>
               <family value="Ample"/>
               <given value="Ex"/>
               <prefix value="dr"/>
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            <address>
               <line value="Laboratoire Central Européenne"/>
               <line value="Boulevard du Jardin Botanique 32"/>
               <city value="Brussels"/>
               <postalCode value="1000"/>
               <country value="Belgium"/>
            </address>
         </Practitioner>
      </resource>
   </entry>
</Bundle>