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               <text value="Laboratory Report"/>
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            <category>
               <coding>
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            <subject>
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               <display value="Rodolfo Emanuelli"/>
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            <date value="2018-03-11T17:06:31Z"/>
            <author>
               <reference value="urn:uuid:a807a2e0-850f-45bf-a979-579bbe2d4bdd"/>
            </author>
            <title value="Laboratory Report"/>
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
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                  <text value="Laboratory studies"/>
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               <section>
                  <title value="Chemistry"/>
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                     <coding>
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                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>11-MAR-2018</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>5.4</td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>171.8 H</strong>
                                 </td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>10.7</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>1.4 H</strong>
                                 </td>
                                 <td>0.6 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.0</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>140.9</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.6</td>
                                 <td>3.5 - 5.0</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>105.8</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>26.1</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>254.6 H</strong>
                                 </td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>446.3 H</strong>
                                 </td>
                                 <td>0 - 150</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td>
                                 <td>
                                    <strong>138.9 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>
                                    <strong>26.4 L</strong>
                                 </td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Microalbumin/Creatinine [Mass Ratio] in Urine</td>
                                 <td>7.7</td>
                                 <td>0 - 30</td>
                                 <td>mg/g</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
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            </section>
            <section>
               <title value="Annotation comment"/>
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                     <code value="48767-8"/>
                     <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 significant hyperglycemia with normal HbA1c, suggesting possible acute or stress-related elevation. Renal function is mildly impaired (elevated creatinine), but no microalbuminuria is present. Lipid profile is markedly abnormal: high total cholesterol, LDL, triglycerides, and low HDL, indicating high cardiovascular risk. Recommend further evaluation for diabetes, renal function monitoring, and aggressive management of dyslipidemia.</td>
                        </tr>
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                        <td>Rodolfo Emanuelli</td>
                        <td>male</td>
                        <td>17-Jun-1984</td>
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               <value value="7624-273065-3"/>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
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               <value value="819337e1-fdfd-2729-4eb6-cc748e7f4722"/>
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               <given value="Rodolfo"/>
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            <telecom>
               <system value="phone"/>
               <value value="+39 0974222293"/>
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            <gender value="male"/>
            <birthDate value="1984-06-17"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Contrada Adelmo, 20 Piano 5"/>
               <city value="Spresiano"/>
               <postalCode value="31027"/>
               <country value="Italy"/>
            </address>
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                  <code value="108252007"/>
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                  <display value="Hyperlipidemia"/>
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            <reasonCode>
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                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
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                  <code value="80394007"/>
                  <display value="Hyperglycemia"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
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                  <code value="271737000"/>
                  <display value="Anemia"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="302870006"/>
                  <display value="Hypertriglyceridemia"/>
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                  <code value="44054006"/>
                  <display value="Type 2 diabetes mellitus"/>
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                        <th>Specimen</th>
                        <th>Collection Date</th>
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                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">11-Mar-2018</span>
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                        <th>11-Mar-2018</th>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
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                        <td>Calcium [Mass/volume] in Blood</td>
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