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   <timestamp value="2019-08-17T10:44:37Z"/>
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               <coding>
                  <system value="http://loinc.org"/>
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               <text value="Laboratory Report"/>
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               <coding>
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                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
               </coding>
            </category>
            <subject>
               <reference value="urn:uuid:bce8ac8e-7213-4dd1-b360-bb61fc9b757d"/>
               <display value="Stanley Johnson"/>
            </subject>
            <date value="2019-08-17T10:44:37Z"/>
            <author>
               <reference value="urn:uuid:fc2213ed-32f5-4ca2-99b7-2d730a53009f"/>
            </author>
            <title value="Laboratory Report"/>
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="26436-6"/>
                     <display value="Laboratory studies (set)"/>
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               <section>
                  <title value="Chemistry"/>
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                     <coding>
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                        <display value="Chemistry studies (set)"/>
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                     <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>17-AUG-2019</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>5.5</td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>127.8 H</strong>
                                 </td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>15.2</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>0.7</td>
                                 <td>0.7 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>8.7</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>139.4</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.4</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>106.5</td>
                                 <td>98 - 110</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>22.4</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>250.6 H</strong>
                                 </td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>235.4 H</strong>
                                 </td>
                                 <td>0 - 149</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td>
                                 <td>
                                    <strong>180.1 H</strong>
                                 </td>
                                 <td>0 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>23.4 L</strong>
                                 </td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Microalbumin/Creatinine [Mass Ratio] in Urine</td>
                                 <td>16.5</td>
                                 <td>0 - 30</td>
                                 <td>mg/g</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
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                  <entry>
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                  <entry>
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            </section>
            <section>
               <title value="Annotation comment"/>
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                     <display value="Annotation comment [Interpretation] Narrative"/>
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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 impaired fasting glucose, dyslipidemia with elevated total cholesterol, LDL, triglycerides, and low HDL, indicating increased cardiovascular risk. Renal function and electrolytes are within normal limits, and there is no evidence of microalbuminuria. Recommend further evaluation and management of glucose and lipid abnormalities.</td>
                        </tr>
                     </table>
                  </div>
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                  <display value="Laboratory studies (set)"/>
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            <result>
               <reference value="urn:uuid:6fbbfdd6-857f-4b73-b905-9663b746b0e4"/>
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            <result>
               <reference value="urn:uuid:4fa99f3a-2612-432b-9090-5986c00b10ef"/>
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            <result>
               <reference value="urn:uuid:b451acd2-05fd-4630-9ac4-891d314f9f6e"/>
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            <result>
               <reference value="urn:uuid:93aedb35-f312-43b2-b6fa-f0ae25aa9c7e"/>
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            <result>
               <reference value="urn:uuid:e7bdf3fb-8375-455d-a0c7-4a2af9f06072"/>
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            <result>
               <reference value="urn:uuid:c68fbdc5-5e84-4520-9081-add4715bac8e"/>
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         </DiagnosticReport>
      </resource>
   </entry>
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         <Patient>
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            <meta>
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               <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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            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Stanley Johnson</td>
                        <td>male</td>
                        <td>05-Mar-1941</td>
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                  </table>
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                        <system value="urn:iso:std:iso:3166"/>
                        <code value="GB"/>
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                  <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="7188-531997-1"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               </type>
               <system value="http://local.setting.eu/identifier"/>
               <value value="f90c7759-33ef-97b9-b733-c10c87087248"/>
            </identifier>
            <name>
               <text value="Stanley Johnson"/>
               <family value="Johnson"/>
               <given value="Stanley"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+44161 496 0087"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1941-03-05"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="289 Smith garden"/>
               <city value="Terencebury"/>
               <postalCode value="TN1"/>
               <country value="United Kingdom"/>
            </address>
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            <status value="active"/>
            <intent value="order"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
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               <reference value="urn:uuid:bce8ac8e-7213-4dd1-b360-bb61fc9b757d"/>
               <display value="Stanley Johnson"/>
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                  <code value="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
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                  <code value="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="80394007"/>
                  <display value="Hyperglycemia"/>
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                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
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                  <code value="302870006"/>
                  <display value="Hypertriglyceridemia"/>
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                  <code value="44054006"/>
                  <display value="Type 2 diabetes mellitus"/>
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                  <code value="64859006"/>
                  <display value="Osteoporosis"/>
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                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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                  <code value="73430006"/>
                  <display value="Sleep apnea"/>
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                  <display value="Sleep disorder"/>
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            </reasonCode>
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                  <code value="271737000"/>
                  <display value="Anemia"/>
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               <country value="United Kingdom"/>
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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">17-Aug-2019</span>
                        </td>
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                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
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               <collectedDateTime value="2019-08-17"/>
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                        <th>17-Aug-2019</th>
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                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>127.8</td>
                        <td>70 - 100</td>
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                        <th>17-Aug-2019</th>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
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                        <td>mg/dL</td>
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                        <td>Creatinine [Mass/volume] in Blood</td>
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                        <td/>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>8.7</td>
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                        <td/>
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                        <td>Sodium [Moles/volume] in Blood</td>
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                        <td/>
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                        <td>4.4</td>
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                        <td>106.5</td>
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                        <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
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