intentionally left empty / not meaningful
 <confidentiality value="N"/> <section> <title value="Laboratory Report"/> <code> <coding> <system value="http://loinc.org"/> <code value="26436-6"/> <display value="Laboratory studies (set)"/> </coding> <text value="Laboratory studies"/> </code> <section> <title value="Chemistry"/> <code> <coding> <system value="http://loinc.org"/> <code value="18719-5"/> <display value="Chemistry studies (set)"/> </coding> <text value="Chemistry"/> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h3>Chemistry</h3> <table class="hl7__eu__lab__report"> <thead> <tr> <th>Test</th> <th>06-SEP-2024</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Ketones [Presence] in Urine by Test strip</td> <td>Urine ketone test negative</td> <td/> <td/> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:9338c520-e2b9-41d5-8cbf-7c1dec7a6000"/> </entry> </section> <section> <title value="Urinalysis"/> <code> <coding> <system value="http://loinc.org"/> <code value="18729-4"/> <display value="Urinalysis studies (set)"/> </coding> <text value="Urinalysis"/> </code> <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>06-SEP-2024</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Glucose [Mass/volume] in Urine by Test strip</td> <td>9.3</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>5.7</td> <td>4.5 - 8.0</td> <td>pH</td> </tr> <tr> <td>Protein [Mass/volume] in Urine by Test strip</td> <td>4.0</td> <td>0 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Nitrite [Presence] in Urine by Test strip</td> <td>Urine nitrite positive</td> <td/> <td/> </tr> <tr> <td>Hemoglobin [Presence] in Urine by Test strip</td> <td>Urine blood test = +</td> <td/> <td/> </tr> <tr> <td>Leukocyte esterase [Presence] in Urine by Test strip</td> <td>Urine leukocyte test</td> <td/> <td/> </tr> <tr> <td>Leukocytes [#/area] in Urine sediment by Microscopy high power field</td> <td> <strong>15.5 H</strong> </td> <td>0 - 5</td> <td>/[HPF]</td> </tr> <tr> <td>Erythrocytes [#/area] in Urine sediment by Microscopy high power field</td> <td>2.5</td> <td>0 - 5</td> <td>/[HPF]</td> </tr> <tr> <td>Epithelial cells [#/area] in Urine sediment by Microscopy high power field</td> <td>1.4</td> <td>0 - 5</td> <td>/[HPF]</td> </tr> <tr> <td>Casts [Presence] in Urine sediment by Light microscopy</td> <td>Urine microscopy: no casts</td> <td/> <td/> </tr> <tr> <td>Mucus [Presence] in Urine sediment by Light microscopy</td> <td>Mucus in urine</td> <td/> <td/> </tr> <tr> <td>Bacteria [#/area] in Urine sediment by Microscopy high power field</td> <td>Finding of presence of bacteria</td> <td/> <td/> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:af07327e-bf7e-4ffc-9669-5629465f796a"/> </entry> <entry> <reference value="urn:uuid:4f0b422b-f199-4c68-9fcc-52755c2c2e6b"/> </entry> <entry> <reference value="urn:uuid:4006a423-c2f0-4d92-b001-d3f3d66a7aed"/> </entry> <entry> <reference value="urn:uuid:bdbfcbe9-9679-4905-9915-03c027c9f72e"/> </entry> <entry> <reference value="urn:uuid:6df14210-c8b0-44e4-8a75-c6bbbeab7f8b"/> </entry> <entry> <reference value="urn:uuid:8c2c7333-0f14-4c60-b913-59113321d885"/> </entry> <entry> <reference value="urn:uuid:5ead45c0-421a-4c77-9317-921683ef2e5b"/> </entry> <entry> <reference value="urn:uuid:419233fc-3223-497c-914d-30093fcdf949"/> </entry> <entry> <reference value="urn:uuid:52a9827e-4f7f-4d7f-9b0e-a77bf8263a65"/> </entry> <entry> <reference value="urn:uuid:37901029-cc2d-46b9-ab5e-080e6ac58209"/> </entry> <entry> <reference value="urn:uuid:0872b6dc-a1d1-4e98-bc10-a5dfec0e4ce0"/> </entry> <entry> <reference value="urn:uuid:f6233423-117c-4434-b6e0-87cf93bcfd98"/> </entry> <entry> <reference value="urn:uuid:62b3cead-fd82-4be0-91dc-47f511d09a17"/> </entry> </section> <section> <title value="Microbiology"/> <code> <coding> <system value="http://loinc.org"/> <code value="18725-2"/> <display value="Microbiology studies (set)"/> </coding> <text value="Microbiology"/> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h3>Microbiology</h3> <table class="hl7__eu__lab__report"> <thead> <tr> <th>Test</th> <th>06-SEP-2024</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Bacteria identified in Urine by Culture</td> <td/> <td/> <td/> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:a1a9c85c-48ef-4505-8380-63bbc7c996d4"/> </entry> </section> </section> <section> <title value="Annotation comment"/> <code> <coding> <system value="http://loinc.org"/> <code value="48767-8"/> <display value="Annotation comment [Interpretation] Narrative"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h3>Annotation</h3> <table class="hl7__eu__lab__report"> <tr> <th>Conclusion and Recommendations based on this report and previous findings known to us</th> </tr> <tr> <td>Urinalysis shows significant leukocyturia, bacteriuria, positive nitrites, and >100,000 CFU/mL E. coli, consistent with a urinary tract infection. Presence of hematuria and low specific gravity are noted; no casts detected. No ketonuria or significant proteinuria. Recommend clinical correlation and consideration of antibiotic therapy.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:6dd91630-c14f-4fb4-8557-2ad3eeba8dc9"/> <resource> <DiagnosticReport> <id value="6dd91630-c14f-4fb4-8557-2ad3eeba8dc9"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"/> </meta> <text> <status value="empty"/> <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div> </text> <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"> <valueReference> <reference value="urn:uuid:0cd22931-f603-42f0-b289-9c65b7d65a3b"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="f9e99fa2-8529-4c19-9062-cf3e1ce1ab27"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="643e3f9e-5dc5-4927-affa-67590d24faa7"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <status value="registered"/> <category> <coding> <system value="http://loinc.org"/> <code value="26436-6"/> <display value="Laboratory studies (set)"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="11502-2"/> <display value="Laboratory report"/> </coding> </code> <subject> <reference value="urn:uuid:3123d816-c2f0-4ddf-9c2a-7bd560960040"/> <display value="Francesco Beffa"/> </subject> <specimen> <reference value="urn:uuid:cdb8d1f2-72ff-480f-8073-f9d3e1e392c3"/> </specimen> <specimen> <reference value="urn:uuid:45772d70-0d8e-4663-bf92-bc8978ff5689"/> </specimen> <result> <reference value="urn:uuid:af07327e-bf7e-4ffc-9669-5629465f796a"/> </result> <result> <reference value="urn:uuid:9338c520-e2b9-41d5-8cbf-7c1dec7a6000"/> </result> <result> <reference value="urn:uuid:4f0b422b-f199-4c68-9fcc-52755c2c2e6b"/> </result> <result> <reference value="urn:uuid:4006a423-c2f0-4d92-b001-d3f3d66a7aed"/> </result> <result> <reference value="urn:uuid:bdbfcbe9-9679-4905-9915-03c027c9f72e"/> </result> <result> <reference value="urn:uuid:6df14210-c8b0-44e4-8a75-c6bbbeab7f8b"/> </result> <result> <reference value="urn:uuid:8c2c7333-0f14-4c60-b913-59113321d885"/> </result> <result> <reference value="urn:uuid:5ead45c0-421a-4c77-9317-921683ef2e5b"/> </result> <result> <reference value="urn:uuid:419233fc-3223-497c-914d-30093fcdf949"/> </result> <result> <reference value="urn:uuid:52a9827e-4f7f-4d7f-9b0e-a77bf8263a65"/> </result> <result> <reference value="urn:uuid:37901029-cc2d-46b9-ab5e-080e6ac58209"/> </result> <result> <reference value="urn:uuid:0872b6dc-a1d1-4e98-bc10-a5dfec0e4ce0"/> </result> <result> <reference value="urn:uuid:f6233423-117c-4434-b6e0-87cf93bcfd98"/> </result> <result> <reference value="urn:uuid:62b3cead-fd82-4be0-91dc-47f511d09a17"/> </result> <result> <reference value="urn:uuid:a1a9c85c-48ef-4505-8380-63bbc7c996d4"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:3123d816-c2f0-4ddf-9c2a-7bd560960040"/> <resource> <Patient> <id value="3123d816-c2f0-4ddf-9c2a-7bd560960040"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> </security> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TRAIN"/> </security> <tag> <system value="https://synderai.net/fhir/CodeSystem/tags"/> <code value="synthetic"/> <display value="SYNDERAI Synthetic data"/> </tag> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Francesco Beffa</td> <td>male</td> <td>16-Jan-1963</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality"> <extension url="code"> <valueCodeableConcept> <coding> <system value="urn:iso:std:iso:3166"/> <code value="IT"/> </coding> </valueCodeableConcept> </extension> </extension> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="JHN"/> </coding> </type> <system value="http://ec.europa.eu/identifier/eci"/> <value value="8775-026644-4"/> </identifier> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="http://local.setting.eu/identifier"/> <value value="7fa059d0-b348-df39-046f-321169cc98e5"/> </identifier> <name> <text value="Francesco Beffa"/> <family value="Beffa"/> <given value="Francesco"/> </name> <telecom> <system value="phone"/> <value value="0544382432"/> </telecom> <gender value="male"/> <birthDate value="1963-01-16"/> <address> <use value="home"/> <type value="physical"/> <line value="Piazza Bombieri, 756 Piano 0"/> <city value="Gissi"/> <postalCode value="66052"/> <country value="Italy"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:5566d362-d6ff-40bf-b14d-611913cf12dc"/> <resource> <ServiceRequest> <id value="5566d362-d6ff-40bf-b14d-611913cf12dc"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/> </meta> <text> <status value="empty"/> <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div> </text> <identifier> <system value="http://example.org"/> <value value="07929ff7-5abb-4285-a5b2-1f46c13bb60d"/> </identifier> <status value="active"/> <intent value="order"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="108252007"/> <display value="Laboratory procedure"/> </coding> </code> <subject> <reference value="urn:uuid:3123d816-c2f0-4ddf-9c2a-7bd560960040"/> <display value="Francesco Beffa"/> </subject> <requester> <reference value="urn:uuid:e5508682-5e97-40a4-89f7-5a1b5942bb9a"/> </requester> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="59621000"/> <display value="Essential hypertension"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="237602007"/> <display value="Metabolic syndrome X"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="414545008"/> <display value="Ischemic heart disease"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="91302008"/> <display value="Sepsis"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="271737000"/> <display value="Anemia"/> </coding> </reasonCode> <specimen> <reference value="urn:uuid:cdb8d1f2-72ff-480f-8073-f9d3e1e392c3"/> </specimen> <specimen> <reference value="urn:uuid:45772d70-0d8e-4663-bf92-bc8978ff5689"/> </specimen> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:e5508682-5e97-40a4-89f7-5a1b5942bb9a"/> <resource> <PractitionerRole> <id value="e5508682-5e97-40a4-89f7-5a1b5942bb9a"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: e5508682-5e97-40a4-89f7-5a1b5942bb9a</div> </text> <organization> <reference value="urn:uuid:1f1dca52-9a49-49fe-bd27-da47beefe10e"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:1f1dca52-9a49-49fe-bd27-da47beefe10e"/> <resource> <Organization> <id value="1f1dca52-9a49-49fe-bd27-da47beefe10e"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Ospedale Civico Renzetti Lanciano</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="df87d8f8-55b8-4a74-b8e9-ab20b3bdc001"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Ospedale Civico Renzetti Lanciano"/> <address> <line value="Via del Mare 1"/> <city value="Lanciano"/> <postalCode value="66034"/> <country value="Italy"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:cdb8d1f2-72ff-480f-8073-f9d3e1e392c3"/> <resource> <Specimen> <id value="cdb8d1f2-72ff-480f-8073-f9d3e1e392c3"/> <meta> <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>Urine specimen</td> <td> <span class="nb">06-Sep-2024</span> </td> </tr> </table> </div> </text> <type> <coding> <system value="http://snomed.info/sct"/> <code value="122575003"/> <display value="Urine specimen"/> </coding> </type> <collection> <collectedDateTime value="2024-09-06"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:45772d70-0d8e-4663-bf92-bc8978ff5689"/> <resource> <Specimen> <id value="45772d70-0d8e-4663-bf92-bc8978ff5689"/> <meta> <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>Urine sediment specimen (specimen)</td> <td> <span class="nb">06-Sep-2024</span> </td> </tr> </table> </div> </text> <type> <coding> <system value="http://snomed.info/sct"/> <code value="122567009"/> <display value="Urine sediment specimen (specimen)"/> </coding> </type> <collection> <collectedDateTime value="2024-09-06"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:af07327e-bf7e-4ffc-9669-5629465f796a"/> <resource> <Observation> <id value="af07327e-bf7e-4ffc-9669-5629465f796a"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>06-Sep-2024</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Glucose [Mass/volume] in Urine by Test strip</td> <td>9.3</td> <td>0 - 20</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="5792-7"/> <display value="Glucose [Mass/volume] in Urine by Test strip"/> </coding> <text value="Glucose [Mass/volume] in Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:3123d816-c2f0-4ddf-9c2a-7bd560960040"/> <display value="Francesco Beffa"/> </subject> <effectiveDateTime value="2024-09-06T14:13:49Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="9.3"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:cdb8d1f2-72ff-480f-8073-f9d3e1e392c3"/> </specimen> <referenceRange> <low> <value value="0"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="20"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:9338c520-e2b9-41d5-8cbf-7c1dec7a6000"/> <resource> <Observation> <id value="9338c520-e2b9-41d5-8cbf-7c1dec7a6000"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>06-Sep-2024</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Ketones [Presence] in Urine by Test strip</td> <td>Urine ketone test negative</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="2514-8"/> <display value="Ketones [Presence] in Urine by Test strip"/> </coding> <text value="Ketones [Presence] in Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:3123d816-c2f0-4ddf-9c2a-7bd560960040"/> <display value="Francesco Beffa"/> </subject> <effectiveDateTime value="2024-09-06T14:13:49Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="167287002"/> <display value="Urine ketone test negative"/> </coding> </valueCodeableConcept> <specimen> <reference value="urn:uuid:cdb8d1f2-72ff-480f-8073-f9d3e1e392c3"/> </specimen> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:4f0b422b-f199-4c68-9fcc-52755c2c2e6b"/> <resource> <Observation> <id value="4f0b422b-f199-4c68-9fcc-52755c2c2e6b"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>06-Sep-2024</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Specific gravity of Urine by Test strip</td> <td>1.0</td> <td>1.005 - 1.030</td> <td>L</td> <td>{nominal}</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="5811-5"/> <display value="Specific gravity of Urine by Test strip"/> </coding> <text value="Specific gravity of Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:3123d816-c2f0-4ddf-9c2a-7bd560960040"/> <display value="Francesco Beffa"/> </subject> <effectiveDateTime value="2024-09-06T14:13:49Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="1"/> <unit value="{nominal}"/> <system value="http://unitsofmeasure.org"/> <code value="1"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="L"/> <display value="Low"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:cdb8d1f2-72ff-480f-8073-f9d3e1e392c3"/> </specimen> <referenceRange> <low> <value value="1.005"/> <unit value="Specific Gravity"/> <system 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