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            <title value="Laboratory Report"/>
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               <title value="Laboratory Report"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>08-OCT-2021</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>91.7</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>17.6</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>1.8 H</strong>
                                 </td>
                                 <td>0.5 - 1.1</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Serum or Plasma</td>
                                 <td>9.8</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>139.7</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>4.7</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>103.4</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>25.0</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>
                           </tbody>
                        </table>
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               <section>
                  <title value="Urinalysis"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18729-4"/>
                        <display value="Urinalysis studies (set)"/>
                     </coding>
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                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Urinalysis</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>08-OCT-2021</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>0.5</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>1.4</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>12.3</td>
                                 <td>0 - 20</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>292.7 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>
                           </tbody>
                        </table>
                     </div>
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               <section>
                  <title value="Specimen information"/>
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                     <coding>
                        <system value="http://loinc.org"/>
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                        <display value="Specimen information"/>
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                        <h3>Specimen information</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>08-OCT-2021</th>
                                 <th>Specimen</th>
                                 <th/>
                              </tr>
                           </thead>
                           <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/>
                              </tr>
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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 elevated serum creatinine, indicating possible impaired renal function. Urinalysis reveals significant proteinuria, glucosuria, bilirubinuria, mild ketonuria, and low specific gravity, with no evidence of infection (negative nitrites/leukocytes). The urine is cloudy and brown with an ammoniacal odor. These findings suggest possible renal dysfunction, such as glomerular disease or tubular injury, and further nephrological evaluation is recommended.</td>
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                        <td>Ιορδανία Δουλάμη</td>
                        <td>female</td>
                        <td>07-Jul-1976</td>
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            <gender value="female"/>
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               <line value="Μεσιανής 0"/>
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               <country value="Greece"/>
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               <status value="empty"/>
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                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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               <reference value="urn:uuid:4414ba02-ec6a-4eb3-aa98-36515a983d96"/>
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                  <code value="68496003"/>
                  <display value="Polyp of colon"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="431856006"/>
                  <display value="Chronic kidney disease stage 2"/>
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            <reasonCode>
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                  <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="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
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            <reasonCode>
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                  <code value="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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                  <code value="78275009"/>
                  <display value="Obstructive sleep apnea syndrome"/>
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                  <code value="39898005"/>
                  <display value="Sleep disorder"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="1254812006"/>
                  <display value="Substance dependence"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="197927001"/>
                  <display value="Recurrent urinary tract infection"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="124171000119105"/>
                  <display value="Chronic intractable migraine without aura"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="196416002"/>
                  <display value="Impacted molars"/>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: d663097d-b4a2-4f3a-91e3-008432fee278</div>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Dr. Aggeliki Papadopoulos</div>
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                  <display value="HL7 Europe"/>
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            <name value="Dr. Aggeliki Papadopoulos"/>
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               <line value="130 Odós Mitropoleos"/>
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               <country value="Greece"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Collection Date</th>
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                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">08-Oct-2021</span>
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               </div>
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                  <system value="http://snomed.info/sct"/>
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                  <display value="Acellular blood (serum or plasma) specimen"/>
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            <collection>
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            <text>
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                  <table class="hl7__eu__lab__report">
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                        <th>Collection Date</th>
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                     <tr>
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                  <display value="Urine specimen"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>08-Oct-2021</th>
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                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
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                        <td>70 - 100</td>
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                        <td>mg/dL</td>
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                  <system value="http://loinc.org"/>
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                  <display value="Glucose [Mass/volume] in Serum or Plasma"/>
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               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
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                        <td>mg/dL</td>
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               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
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                        <td>mg/dL</td>
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                  <table class="hl7__eu__lab__report">
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                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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               <text value="Calcium [Mass/volume] in Serum or Plasma"/>
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                        <td>Potassium [Moles/volume] in Serum or Plasma</td>
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               <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="6a4c7c96-5be9-40ed-96ca-7f3f5b3233fb"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name>
               <family value="Ample"/>
               <given value="Ex"/>
               <prefix value="dr"/>
            </name>
            <address>
               <line value="Laboratoire Central Européenne"/>
               <line value="Boulevard du Jardin Botanique 32"/>
               <city value="Brussels"/>
               <postalCode value="1000"/>
               <country value="Belgium"/>
            </address>
         </Practitioner>
      </resource>
   </entry>
</Bundle>