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   <timestamp value="2024-08-04T12:33:25Z"/>
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               <reference value="urn:uuid:7fb7ac0d-4aa1-41a3-adde-2900fb818c5b"/>
               <display value="Patrizio Berrè"/>
            </subject>
            <date value="2024-08-04T12:33:25Z"/>
            <author>
               <reference value="urn:uuid:796add3b-a44d-444c-bb7f-f8266e351c3e"/>
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            <title value="Laboratory Report"/>
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               <title value="Laboratory Report"/>
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                  <title value="Hematology"/>
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                        <h3>Hematology</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>04-AUG-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Leukocytes [#/volume] in Blood by Automated count</td>
                                 <td>9.7</td>
                                 <td>4.5 - 11.0</td>
                                 <td>10*3/uL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocytes [#/volume] in Blood by Automated count</td>
                                 <td>4.6</td>
                                 <td>4.3 - 5.7</td>
                                 <td>10*6/uL</td>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>11.3 L</strong>
                                 </td>
                                 <td>13.5 - 17.5</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Hematocrit [Volume Fraction] of Blood by Automated count</td>
                                 <td>
                                    <strong>34.9 L</strong>
                                 </td>
                                 <td>39 - 50</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>MCV [Entitic mean volume] in Red Blood Cells by Automated count</td>
                                 <td>87.7</td>
                                 <td>80 - 100</td>
                                 <td>fL</td>
                              </tr>
                              <tr>
                                 <td>MCH [Entitic mass] by Automated count</td>
                                 <td>27.9</td>
                                 <td>27 - 33</td>
                                 <td>pg</td>
                              </tr>
                              <tr>
                                 <td>MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count</td>
                                 <td>33.3</td>
                                 <td>32 - 36</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Erythrocyte [DistWidth] in Blood by Automated count</td>
                                 <td>14.4</td>
                                 <td>11.5 - 14.5</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Platelets [#/volume] in Blood by Automated count</td>
                                 <td>427.6</td>
                                 <td>150 - 450</td>
                                 <td>10*3/uL</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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                     <reference value="urn:uuid:9d79174d-b36a-4023-89bc-90131b4377c5"/>
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               <section>
                  <title value="Chemistry"/>
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                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
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                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>04-AUG-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>98.1</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>18.5</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.8 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>9.0</td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>136.8</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>3.8</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>108.6 H</strong>
                                 </td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>22.5</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Serum or Plasma</td>
                                 <td>7.7</td>
                                 <td>6.6 - 8.3</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Albumin [Mass/volume] in Serum or Plasma</td>
                                 <td>4.3</td>
                                 <td>3.5 - 5.5</td>
                                 <td>g/dL</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>11.5 H</strong>
                                 </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>82.8</td>
                                 <td>30 - 120</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>9.8 L</strong>
                                 </td>
                                 <td>10 - 40</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td>
                                 <td>19.1</td>
                                 <td>10 - 40</td>
                                 <td>U/L</td>
                              </tr>
                              <tr>
                                 <td>Magnesium [Mass/volume] in Serum or Plasma</td>
                                 <td>1.8</td>
                                 <td>1.6 - 2.6</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Phosphate [Mass/volume] in Serum or Plasma</td>
                                 <td>3.7</td>
                                 <td>2.5 - 4.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>pH of Arterial blood</td>
                                 <td>
                                    <strong>6.8 L</strong>
                                 </td>
                                 <td>7.35 - 7.45</td>
                                 <td>[pH]</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide [Partial pressure] in Arterial blood</td>
                                 <td>43.8</td>
                                 <td>35 - 45</td>
                                 <td>mm[Hg]</td>
                              </tr>
                              <tr>
                                 <td>Oxygen [Partial pressure] in Arterial blood</td>
                                 <td>83.3</td>
                                 <td>80 - 100</td>
                                 <td>mm[Hg]</td>
                              </tr>
                              <tr>
                                 <td>Bicarbonate [Moles/volume] in Arterial blood</td>
                                 <td>25.0</td>
                                 <td>22 - 28</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Oxygen saturation in Arterial blood</td>
                                 <td>97.0</td>
                                 <td>95 - 100</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>160.6</td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>138.6</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>80.3</td>
                                 <td>0 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td>
                                 <td>52.5</td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
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                     <reference value="urn:uuid:8793b68b-5707-4369-abd5-358cf4845d0f"/>
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               </section>
               <section>
                  <title value="Coagulation"/>
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                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18720-3"/>
                        <display value="Coagulation studies (set)"/>
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                     <text value="Coagulation"/>
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                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Coagulation</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>04-AUG-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Prothrombin time (PT)</td>
                                 <td>11.8</td>
                                 <td>11.0 - 13.5</td>
                                 <td>s</td>
                              </tr>
                              <tr>
                                 <td>INR in Platelet poor plasma by Coagulation assay</td>
                                 <td>1.0</td>
                                 <td>0.9 - 1.1</td>
                                 <td>{INR}</td>
                              </tr>
                              <tr>
                                 <td>aPTT in Blood by Coagulation assay</td>
                                 <td>
                                    <strong>39.4 H</strong>
                                 </td>
                                 <td>24 - 32</td>
                                 <td>s</td>
                              </tr>
                           </tbody>
                        </table>
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               <title value="Annotation comment"/>
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                     <display value="Annotation comment [Interpretation] Narrative"/>
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                     <h3>Annotation</h3>
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                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows normocytic, normochromic anemia, markedly elevated creatinine (suggesting significant renal impairment), severe hyperbilirubinemia, prolonged aPTT, and severe metabolic acidosis (arterial pH 6.8). Chloride is mildly elevated. Liver enzymes are not elevated, but ALT is slightly low. These findings indicate acute or chronic renal failure with severe acidosis and possible coagulopathy and hyperbilirubinemia; urgent clinical evaluation is recommended.</td>
                        </tr>
                     </table>
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               </text>
            </section>
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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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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Patrizio Berrè</td>
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            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
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                        <system value="urn:iso:std:iso:3166"/>
                        <code value="IT"/>
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                  </valueCodeableConcept>
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            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="3822-672758-4"/>
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            <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="4a342475-0774-e48e-ea0e-23e156676372"/>
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            <name>
               <text value="Patrizio Berrè"/>
               <family value="Berrè"/>
               <given value="Patrizio"/>
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            <telecom>
               <system value="phone"/>
               <value value="+39 0362156842"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1949-02-21"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Via Bossi, 62"/>
               <city value="Fanzolo"/>
               <postalCode value="31040"/>
               <country value="Italy"/>
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         </Patient>
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               <status value="empty"/>
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               <value value="22253ec6-2500-4aa8-ba80-7900b875049e"/>
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            <status value="active"/>
            <intent value="order"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            </code>
            <subject>
               <reference value="urn:uuid:7fb7ac0d-4aa1-41a3-adde-2900fb818c5b"/>
               <display value="Patrizio Berrè"/>
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            <requester>
               <reference value="urn:uuid:c696184c-91b3-4878-b4e3-0e0fc4199ad5"/>
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            <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="55822004"/>
                  <display value="Hyperlipidemia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
               </coding>
            </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:cef14b5a-f77c-432e-b524-dc03138cc132"/>
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               <reference value="urn:uuid:381a15d9-dca3-413b-8192-6263b7db6998"/>
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            <specimen>
               <reference value="urn:uuid:bb284fbb-464c-4f9b-a8b9-a0ee0ce46e38"/>
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         <PractitionerRole>
            <id value="c696184c-91b3-4878-b4e3-0e0fc4199ad5"/>
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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: c696184c-91b3-4878-b4e3-0e0fc4199ad5</div>
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            <organization>
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            <id value="a396559f-2aab-49df-816d-effe956e8185"/>
            <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: Ospedale Vecchio di Montebelluna</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="7046b00b-02a4-4bcb-a37d-a0e9ce609655"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Ospedale Vecchio di Montebelluna"/>
            <address>
               <line value="Via Sant'Andrea nan"/>
               <city value="Montebelluna"/>
               <postalCode value="31044"/>
               <country value="Italy"/>
            </address>
         </Organization>
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      <fullUrl value="urn:uuid:cef14b5a-f77c-432e-b524-dc03138cc132"/>
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         <Specimen>
            <id value="cef14b5a-f77c-432e-b524-dc03138cc132"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
                        <th>Collection Date</th>
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                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">04-Aug-2024</span>
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                     </tr>
                  </table>
               </div>
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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="2024-08-04"/>
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                        <th>Collection Date</th>
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                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">04-Aug-2024</span>
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                  </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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               <collectedDateTime value="2024-08-04"/>
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         <Specimen>
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            <text>
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                        <th>Specimen</th>
                        <th>Collection Date</th>
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                        <td>Platelet poor plasma specimen</td>
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                           <span class="nb">04-Aug-2024</span>
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                  <system value="http://snomed.info/sct"/>
                  <code value="119362004"/>
                  <display value="Platelet poor plasma specimen"/>
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               <collectedDateTime value="2024-08-04"/>
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                        <td>Arterial blood specimen</td>
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                           <span class="nb">04-Aug-2024</span>
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                  <system value="http://snomed.info/sct"/>
                  <code value="122552005"/>
                  <display value="Arterial blood specimen"/>
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               <collectedDateTime value="2024-08-04"/>
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                        <th>Test</th>
                        <th>04-Aug-2024</th>
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                        <th>Unit</th>
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                        <td>Leukocytes [#/volume] in Blood by Automated count</td>
                        <td>9.7</td>
                        <td>4.5 - 11.0</td>
                        <td/>
                        <td>10*3/uL</td>
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                  <code value="laboratory"/>
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               <coding>
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               <text value="Leukocytes [#/volume] in Blood by Automated count"/>
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               <display value="Patrizio Berrè"/>
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                  <value value="4.5"/>
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                  <value value="11"/>
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                        <th>04-Aug-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Erythrocytes [#/volume] in Blood by Automated count</td>
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                        <td>4.3 - 5.7</td>
                        <td/>
                        <td>10*6/uL</td>
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                  </table>
               </div>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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               <coding>
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               <text value="Erythrocytes [#/volume] in Blood by Automated count"/>
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            <subject>
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               <display value="Patrizio Berrè"/>
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            <performer>
               <display value="The Central European Lab"/>
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               <value value="4.6"/>
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               <code value="10*6/uL"/>
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            <specimen>
               <reference value="urn:uuid:cef14b5a-f77c-432e-b524-dc03138cc132"/>
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            <referenceRange>
               <low>
                  <value value="4.3"/>
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               <high>
                  <value value="5.7"/>
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                  <code value="10*6/uL"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
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                        <th>04-Aug-2024</th>
                        <th>Reference Range</th>
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                     </tr>
                     <tr>
                        <td>Hemoglobin [Mass/volume] in Blood</td>
                        <td>11.3</td>
                        <td>13.5 - 17.5</td>
                        <td>L</td>
                        <td>g/dL</td>
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                  </table>
               </div>
            </text>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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                  <system value="http://loinc.org"/>
                  <code value="718-7"/>
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               <text value="Hemoglobin [Mass/volume] in Blood"/>
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            <subject>
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               <display value="Patrizio Berrè"/>
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            <effectiveDateTime value="2024-08-04T10:33:25Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="11.3"/>
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               <code value="g/dL"/>
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            <interpretation>
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                  <code value="L"/>
                  <display value="Low"/>
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            <specimen>
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            <referenceRange>
               <low>
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                  <code value="g/dL"/>
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               <high>
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                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
                        <td>9.0</td>
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                        <td>mg/dL</td>
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                        <th>04-Aug-2024</th>
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                        <td>108.6</td>
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                        <td>mmol/L</td>
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                        <th>04-Aug-2024</th>
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                        <td>22.5</td>
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                        <td>mmol/L</td>
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                        <td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td>
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