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   <timestamp value="2015-08-14T13:23:19Z"/>
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               <text value="Laboratory Report"/>
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                  <display value="Laboratory studies (set)"/>
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               <display value="Angela Bauer"/>
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            <date value="2015-08-14T13:23:19Z"/>
            <author>
               <reference value="urn:uuid:767a1109-81c5-486a-a77e-3cc0cde5a4d9"/>
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            <title value="Laboratory Report"/>
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            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
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                  <title value="Chemistry"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>14-AUG-2015</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>89.5</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>7.6</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>1.9 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>9.1</td>
                                 <td>8.6 - 10.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>141.0</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>106.2</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>21.2 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test = +</td>
                                 <td/>
                                 <td/>
                              </tr>
                           </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>
                     <text value="Urinalysis"/>
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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>14-AUG-2015</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>2.0 H</strong>
                                 </td>
                                 <td>0 - 0</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Presence] in Urine by Test strip</td>
                                 <td>Urine glucose test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Urine by Test strip</td>
                                 <td>0.7</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>13.3</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>5.3</td>
                                 <td>5.0 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>274.1 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>
                  </text>
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               <section>
                  <title value="Specimen information"/>
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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>14-AUG-2015</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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                        <tr>
                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows elevated serum creatinine, low total CO₂, and significant proteinuria, suggesting possible renal impairment. Urinalysis reveals proteinuria, glucosuria, mild ketonuria, low specific gravity, and abnormal urine appearance (cloudy, brown, ammoniacal), but no evidence of infection (negative nitrites/leukocytes). Findings are consistent with renal dysfunction, possibly diabetic nephropathy or another glomerular pathology. Further nephrological evaluation is recommended.</td>
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            <text>
               <status value="generated"/>
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                  <table class="hl7__ips">
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                        <td>Angela Bauer</td>
                        <td>female</td>
                        <td>08-Dec-1968</td>
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            <gender value="female"/>
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            <address>
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               <type value="physical"/>
               <line value="Kalina-Baumgartner-Gasse 8/9"/>
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               <country value="Austria"/>
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            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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               <value value="9141d605-0993-4d29-aef5-f76adfa6cafb"/>
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            <status value="active"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            </code>
            <subject>
               <reference value="urn:uuid:e8c162db-bc06-418a-b155-3dfd3ed29698"/>
               <display value="Angela Bauer"/>
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               <reference value="urn:uuid:b5e4c29c-9384-4e5b-a73b-8a20cfb278a2"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="433144002"/>
                  <display value="Chronic kidney disease stage 3"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="157141000119108"/>
                  <display value="Proteinuria due to type 2 diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="239872002"/>
                  <display value="Osteoarthritis of hip"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431856006"/>
                  <display value="Chronic kidney disease stage 2"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="90781000119102"/>
                  <display value="Microalbuminuria due to type 2 diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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            <specimen>
               <reference value="urn:uuid:facf7e54-f0b4-4896-874b-0ddbd1e6f327"/>
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            <specimen>
               <reference value="urn:uuid:004e983b-97fe-4bba-ad46-d72d29aa151d"/>
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         <PractitionerRole>
            <id value="b5e4c29c-9384-4e5b-a73b-8a20cfb278a2"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: b5e4c29c-9384-4e5b-a73b-8a20cfb278a2</div>
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            <organization>
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   <entry>
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         <Organization>
            <id value="c3a1e060-3149-4007-b7ce-dcf441acb5e3"/>
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               <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: Dr. Gerald Mair</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="c0310838-ffd9-42f8-a55e-65c298502be7"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Dr. Gerald Mair"/>
            <address>
               <line value="Karl-Mauracher-Weg 26"/>
               <city value="Fügen"/>
               <postalCode value="6263"/>
               <country value="Austria"/>
            </address>
         </Organization>
      </resource>
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   <entry>
      <fullUrl value="urn:uuid:facf7e54-f0b4-4896-874b-0ddbd1e6f327"/>
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         <Specimen>
            <id value="facf7e54-f0b4-4896-874b-0ddbd1e6f327"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
            </meta>
            <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">14-Aug-2015</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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            </type>
            <collection>
               <collectedDateTime value="2015-08-14"/>
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         </Specimen>
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   <entry>
      <fullUrl value="urn:uuid:004e983b-97fe-4bba-ad46-d72d29aa151d"/>
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         <Specimen>
            <id value="004e983b-97fe-4bba-ad46-d72d29aa151d"/>
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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>
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                     <tr>
                        <td>Urine specimen</td>
                        <td>
                           <span class="nb">14-Aug-2015</span>
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               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="122575003"/>
                  <display value="Urine specimen"/>
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            <collection>
               <collectedDateTime value="2015-08-14"/>
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   <entry>
      <fullUrl value="urn:uuid:2fec2145-75c1-4134-a412-1f0bfeb1c278"/>
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         <Observation>
            <id value="2fec2145-75c1-4134-a412-1f0bfeb1c278"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>14-Aug-2015</th>
                        <th>Reference Range</th>
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                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
                        <td>89.5</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2345-7"/>
                  <display value="Glucose [Mass/volume] in Serum or Plasma"/>
               </coding>
               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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            <subject>
               <reference value="urn:uuid:e8c162db-bc06-418a-b155-3dfd3ed29698"/>
               <display value="Angela Bauer"/>
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            <effectiveDateTime value="2015-08-14T11:23:19Z"/>
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               <display value="The Central European Lab"/>
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            <valueQuantity>
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               <code value="mg/dL"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Test</th>
                        <th>14-Aug-2015</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                        <td>7.6</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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               </div>
            </text>
            <status value="final"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="3094-0"/>
                  <display value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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               <display value="Angela Bauer"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Reference Range</th>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                        <td>1.9</td>
                        <td>0.5 - 1.1</td>
                        <td>H</td>
                        <td>mg/dL</td>
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               </div>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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                  <code value="2160-0"/>
                  <display value="Creatinine [Mass/volume] in Serum or Plasma"/>
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               <text value="Creatinine [Mass/volume] in Serum or Plasma"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>14-Aug-2015</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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                        <td/>
                        <td>mg/dL</td>
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            <status value="final"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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                  <code value="17861-6"/>
                  <display value="Calcium [Mass/volume] in Serum or Plasma"/>
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               <text value="Calcium [Mass/volume] in Serum or Plasma"/>
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            <subject>
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               <display value="Angela Bauer"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
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                        <th>14-Aug-2015</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Sodium [Moles/volume] in Serum or Plasma</td>
                        <td>141.0</td>
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                        <td/>
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            <status value="final"/>
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                  <code value="laboratory"/>
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            <code>
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                  <system value="http://loinc.org"/>
                  <code value="2951-2"/>
                  <display value="Sodium [Moles/volume] in Serum or Plasma"/>
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               <text value="Sodium [Moles/volume] in Serum or Plasma"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
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                        <th>14-Aug-2015</th>
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                     <tr>
                        <td>Potassium [Moles/volume] in Serum or Plasma</td>
                        <td>3.8</td>
                        <td>3.5 - 5.1</td>
                        <td/>
                        <td>mmol/L</td>
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               </div>
            </text>
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            <code>
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                  <system value="http://loinc.org"/>
                  <code value="2823-3"/>
                  <display value="Potassium [Moles/volume] in Serum or Plasma"/>
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               <text value="Potassium [Moles/volume] in Serum or Plasma"/>
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            <subject>
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                  <system value="http://unitsofmeasure.org"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
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                     <tr>
                        <td>Chloride [Moles/volume] in Serum or Plasma</td>
                        <td>106.2</td>
                        <td>98 - 107</td>
                        <td/>
                        <td>mmol/L</td>
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                  </table>
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            </text>
            <status value="final"/>
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