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               <title value="Laboratory Report"/>
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                        <h3>Hematology</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>07-NOV-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Leukocytes [#/volume] in Blood by Automated count</td>
                                 <td>9.3</td>
                                 <td>4.0 - 11.0</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                                 <td>
                                    <strong>5.7 H</strong>
                                 </td>
                                 <td>4.2 - 5.4</td>
                                 <td>10*6/uL</td>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Mass/volume] in Blood</td>
                                 <td>15.9</td>
                                 <td>12 - 16</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Hematocrit [Volume Fraction] of Blood by Automated count</td>
                                 <td>
                                    <strong>48.5 H</strong>
                                 </td>
                                 <td>36 - 46</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
                                 <td>91.3</td>
                                 <td>80 - 100</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>MCH [Entitic mass] by Automated count</td>
                                 <td>32.9</td>
                                 <td>27 - 33</td>
                                 <td>pg</td>
                              </tr>
                              <tr>
                                 <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td>
                                 <td>34.6</td>
                                 <td>32 - 36</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocyte [DistWidth] in Blood by Automated count</td>
                                 <td>12.5</td>
                                 <td>11.5 - 14.5</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Platelets [#/volume] in Blood by Automated count</td>
                                 <td>155.6</td>
                                 <td>150 - 450</td>
                                 <td>10*3/uL</td>
                              </tr>
                           </tbody>
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                  <title value="Chemistry"/>
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                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>07-NOV-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Oxygen saturation in Arterial blood</td>
                                 <td>
                                    <strong>76.0 L</strong>
                                 </td>
                                 <td>95 - 100</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Natriuretic peptide.B prohormone N-Terminal [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>1646.8 H</strong>
                                 </td>
                                 <td>0 - 450</td>
                                 <td>pg/mL</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>86.3</td>
                                 <td>65 - 99</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>15.7</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>0.7</td>
                                 <td>0.5 - 1.1</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Serum or Plasma</td>
                                 <td>9.7</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>4.7</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>107.5</td>
                                 <td>98 - 110</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>28.1</td>
                                 <td>22 - 32</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Serum or Plasma</td>
                                 <td>7.3</td>
                                 <td>6.6 - 8.3</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Albumin [Mass/volume] in Serum or Plasma</td>
                                 <td>5.0</td>
                                 <td>3.5 - 5.2</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Serum or Plasma</td>
                                 <td>0.9</td>
                                 <td>0.1 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>113.9 H</strong>
                                 </td>
                                 <td>32 - 91</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>12.4</td>
                                 <td>7 - 56</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>17.3</td>
                                 <td>10 - 40</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Magnesium [Mass/volume] in Serum or Plasma</td>
                                 <td>1.9</td>
                                 <td>1.7 - 2.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>188.6</td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>134.9</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>133.7 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>28.0 L</strong>
                                 </td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>5.5</td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Troponin I.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method</td>
                                 <td>0.0</td>
                                 <td>0.0 - 19.9</td>
                                 <td>pg/mL</td>
                              </tr>
                              <tr>
                                 <td>Ferritin [Mass/volume] in Serum or Plasma</td>
                                 <td>141.7</td>
                                 <td>13 - 150</td>
                                 <td>ug/L</td>
                              </tr>
                              <tr>
                                 <td>Iron [Mass/volume] in Serum or Plasma</td>
                                 <td>63.4</td>
                                 <td>50 - 170</td>
                                 <td>ug/dL</td>
                              </tr>
                              <tr>
                                 <td>Iron binding capacity [Mass/volume] in Serum or Plasma</td>
                                 <td>410.7</td>
                                 <td>250 - 450</td>
                                 <td>ug/dL</td>
                              </tr>
                              <tr>
                                 <td>Iron saturation [Mass Fraction] in Serum or Plasma</td>
                                 <td>25.9</td>
                                 <td>15 - 50</td>
                                 <td>%</td>
                              </tr>
                           </tbody>
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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 severe hypoxemia (O2 saturation 76%) and markedly elevated NT-proBNP, suggesting possible acute or decompensated heart failure. There is erythrocytosis and elevated hematocrit, likely as a compensatory response to hypoxia. Lipid profile is atherogenic (high LDL, low HDL). Alkaline phosphatase is mildly elevated. Other parameters, including renal and liver function, are within normal limits. Immediate clinical evaluation is recommended.</td>
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               <reference value="urn:uuid:9a9c865f-2789-487d-be95-358edd62813e"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
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               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Carly Roberts</td>
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                        <td>10-Dec-1969</td>
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            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
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                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="GB"/>
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                  </valueCodeableConcept>
               </extension>
            </extension>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               </type>
               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="9384-259853-9"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <system value="http://local.setting.eu/identifier"/>
               <value value="2d771604-faf8-4358-6df7-a76fb9999d05"/>
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            <name>
               <text value="Carly Roberts"/>
               <family value="Roberts"/>
               <given value="Carly"/>
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            <telecom>
               <system value="phone"/>
               <value value="01514960614"/>
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            <gender value="female"/>
            <birthDate value="1969-12-10"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="2 Price meadow"/>
               <city value="Mitchellborough"/>
               <postalCode value="LE4"/>
               <country value="United Kingdom"/>
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         </Patient>
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               <status value="empty"/>
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               <value value="45b1277e-25e1-4644-a8f8-d27142686cd9"/>
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            <status value="active"/>
            <intent value="order"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            </code>
            <subject>
               <reference value="urn:uuid:8c8880c9-b537-4b0c-99f6-9c8a9264fe6f"/>
               <display value="Carly Roberts"/>
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               <reference value="urn:uuid:4fc834f2-f051-41d9-8927-a3cfb5c16b2c"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="88805009"/>
                  <display value="Chronic congestive heart failure"/>
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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>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="197927001"/>
                  <display value="Recurrent urinary tract infection"/>
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            </reasonCode>
            <specimen>
               <reference value="urn:uuid:b61045e4-352b-47c5-9b73-2c8f57e09cd3"/>
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            <specimen>
               <reference value="urn:uuid:dd7f927d-a913-481b-92b5-b00576ca77a0"/>
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            <meta>
               <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: 4fc834f2-f051-41d9-8927-a3cfb5c16b2c</div>
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            <organization>
               <reference value="urn:uuid:c1d31d60-db07-4438-9c5a-130cd6fe736b"/>
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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: St Matthews Health &amp; Community Centre</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="0fd0a098-16a5-4a5a-ae28-72aeb518020b"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="St Matthews Health &amp;amp; Community Centre"/>
            <address>
               <line value="Malabar Road 62-66"/>
               <city value="Leicester"/>
               <postalCode value="LE1 4"/>
               <country value="United Kingdom"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:b61045e4-352b-47c5-9b73-2c8f57e09cd3"/>
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         <Specimen>
            <id value="b61045e4-352b-47c5-9b73-2c8f57e09cd3"/>
            <meta>
               <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>Arterial blood specimen</td>
                        <td>
                           <span class="nb">07-Nov-2024</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="122552005"/>
                  <display value="Arterial blood specimen"/>
               </coding>
            </type>
            <collection>
               <collectedDateTime value="2024-11-07"/>
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         </Specimen>
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   <entry>
      <fullUrl value="urn:uuid:4a01be12-de52-4401-8cbc-d331dc28c1c8"/>
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         <Specimen>
            <id value="4a01be12-de52-4401-8cbc-d331dc28c1c8"/>
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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">07-Nov-2024</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"/>
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            <collection>
               <collectedDateTime value="2024-11-07"/>
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         </Specimen>
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         <Specimen>
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            <text>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">07-Nov-2024</span>
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                     </tr>
                  </table>
               </div>
            </text>
            <type>
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                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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               <collectedDateTime value="2024-11-07"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>07-Nov-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Oxygen saturation in Arterial blood</td>
                        <td>76.0</td>
                        <td>95 - 100</td>
                        <td>L</td>
                        <td>%</td>
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                  </table>
               </div>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2708-6"/>
                  <display value="Oxygen saturation in Arterial blood"/>
               </coding>
               <text value="Oxygen saturation in Arterial blood"/>
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            <subject>
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               <display value="Carly Roberts"/>
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            <effectiveDateTime value="2024-11-07T06:53:53Z"/>
            <performer>
               <display value="The Central European Lab"/>
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                  <code value="L"/>
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            <id value="2835488f-187d-432b-8c97-c76f2d244b89"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>07-Nov-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Natriuretic peptide.B prohormone N-Terminal [Mass/volume] in Serum or Plasma</td>
                        <td>1646.8</td>
                        <td>0 - 450</td>
                        <td>H</td>
                        <td>pg/mL</td>
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                  </table>
               </div>
            </text>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="33762-6"/>
                  <display value="Natriuretic peptide.B prohormone N-Terminal [Mass/volume] in Serum or Plasma"/>
               </coding>
               <text value="Natriuretic peptide.B prohormone N-Terminal [Mass/volume] in Serum or Plasma"/>
            </code>
            <subject>
               <reference value="urn:uuid:8c8880c9-b537-4b0c-99f6-9c8a9264fe6f"/>
               <display value="Carly Roberts"/>
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            <effectiveDateTime value="2024-11-07T06:53:53Z"/>
            <performer>
               <display value="The Central European Lab"/>
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               <value value="1646.8"/>
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                  <code value="H"/>
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            <specimen>
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                  <value value="0"/>
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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>07-Nov-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Leukocytes [#/volume] in Blood by Automated count</td>
                        <td>9.3</td>
                        <td>4.0 - 11.0</td>
                        <td/>
                        <td>10*3/uL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6690-2"/>
                  <display value="Leukocytes [#/volume] in Blood by Automated count"/>
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               <text value="Leukocytes [#/volume] in Blood by Automated count"/>
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            <subject>
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               <display value="Carly Roberts"/>
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                  <value value="4"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>07-Nov-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                        <td>5.7</td>
                        <td>4.2 - 5.4</td>
                        <td>H</td>
                        <td>10*6/uL</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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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="789-8"/>
                  <display value="Erythrocytes [#/volume] in Blood by Automated count"/>
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               <text value="Erythrocytes [#/volume] in Blood by Automated count"/>
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            <subject>
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            <specimen>
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                        <th>07-Nov-2024</th>
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