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            <title value="Laboratory Report"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>09-MAR-2023</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>84.4</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>11.9</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.3 H</strong>
                                 </td>
                                 <td>0.6 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Serum or Plasma</td>
                                 <td>9.7</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>138.8</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>5.1</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>101.7</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>22.4</td>
                                 <td>22 - 32</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>3.3 L</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                           </tbody>
                        </table>
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               <section>
                  <title value="Urinalysis"/>
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                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18729-4"/>
                        <display value="Urinalysis studies (set)"/>
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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>09-MAR-2023</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>1.9</td>
                                 <td>0 - 5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Presence] in Urine by Test strip</td>
                                 <td>Urine glucose test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Urine by Test strip</td>
                                 <td>1.0</td>
                                 <td>0 - 1</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>3.3</td>
                                 <td>0 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Specific gravity of Urine by Test strip</td>
                                 <td>
                                    <strong>1.0 L</strong>
                                 </td>
                                 <td>1.005 - 1.030</td>
                                 <td>{nominal}</td>
                              </tr>
                              <tr>
                                 <td>pH of Urine by Test strip</td>
                                 <td>6.8</td>
                                 <td>5.0 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>273.3 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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                        <display value="Specimen information"/>
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                        <h3>Specimen information</h3>
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                                 <th>Test</th>
                                 <th>09-MAR-2023</th>
                                 <th>Specimen</th>
                                 <th/>
                              </tr>
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                           <tbody>
                              <tr>
                                 <td>Appearance of Urine</td>
                                 <td>Cloudy urine</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Odor of Urine</td>
                                 <td>Urine smell ammoniacal</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Clarity of Urine</td>
                                 <td>Translucent</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Color of Urine</td>
                                 <td>Brown color</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
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                     <h3>Annotation</h3>
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                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows elevated serum creatinine, significant proteinuria, glucosuria, ketonuria, and bilirubinuria, with low urine specific gravity and a low HbA1c. These findings suggest impaired renal function, likely nephrotic-range proteinuria, and possible tubular dysfunction. The presence of glucosuria with normal blood glucose and low HbA1c may indicate renal glycosuria. Further nephrological evaluation is recommended.</td>
                        </tr>
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                        <td>07-Apr-1975</td>
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            <gender value="male"/>
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               <type value="physical"/>
               <line value="391 Dean locks"/>
               <city value="Manchester"/>
               <postalCode value="M1"/>
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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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                  <code value="108252007"/>
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               <reference value="urn:uuid:bea47586-2f3d-49f8-9156-890410488d87"/>
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                  <code value="431857002"/>
                  <display value="Chronic kidney disease stage 4"/>
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                  <code value="433144002"/>
                  <display value="Chronic kidney disease stage 3"/>
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            <reasonCode>
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                  <code value="157141000119108"/>
                  <display value="Proteinuria due to type 2 diabetes mellitus"/>
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            <reasonCode>
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                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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                  <code value="55822004"/>
                  <display value="Hyperlipidemia"/>
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                  <code value="431856006"/>
                  <display value="Chronic kidney disease stage 2"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="90781000119102"/>
                  <display value="Microalbuminuria due to type 2 diabetes mellitus"/>
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            <reasonCode>
               <coding>
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                  <code value="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
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            <reasonCode>
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                  <code value="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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            <reasonCode>
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                  <code value="1551000119108"/>
                  <display value="Nonproliferative retinopathy due to type 2 diabetes mellitus"/>
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                  <code value="422034002"/>
                  <display value="Retinopathy due to type 2 diabetes mellitus"/>
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            <reasonCode>
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                  <code value="271737000"/>
                  <display value="Anemia"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="80394007"/>
                  <display value="Hyperglycemia"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="302870006"/>
                  <display value="Hypertriglyceridemia"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="44054006"/>
                  <display value="Type 2 diabetes mellitus"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 8ff53973-5380-40ab-aafc-d3d86ce65bce</div>
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            <organization>
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            <text>
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            <text>
               <status value="generated"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
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                        <th>Collection Date</th>
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                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
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                  <table class="hl7__eu__lab__report">
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                        <td>Urine specimen</td>
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                  <display value="Urine specimen"/>
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                        <td>Whole blood specimen (specimen)</td>
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                        <th>Test</th>
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               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
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                        <td/>
                        <td>mg/dL</td>
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               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
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                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
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               <city value="Brussels"/>
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               <country value="Belgium"/>
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</Bundle>