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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>08-JUN-2025</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>97.0</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>7.5</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.1 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>9.9</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>141.1</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>4.0</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>109.3 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>
                                    <strong>20.6 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>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>3.1 L</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>97.0</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>7.5</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>1.5 H</strong>
                                 </td>
                                 <td>0.7 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.9</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>141.1</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.0</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>109.3 H</strong>
                                 </td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>20.6 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
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                  <title value="Urinalysis"/>
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                     <status value="generated"/>
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                        <h3>Urinalysis</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>08-JUN-2025</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>1.1 H</strong>
                                 </td>
                                 <td>0 - 0.8</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>
                                    <strong>1.5 H</strong>
                                 </td>
                                 <td>0.0 - 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>
                                    <strong>5.6 H</strong>
                                 </td>
                                 <td>0 - 4</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>4.5 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>333.6 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>
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                  <title value="Specimen information"/>
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                     <status value="generated"/>
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                        <h3>Specimen information</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>08-JUN-2025</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>
                           </tbody>
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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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                        <tr>
                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows elevated creatinine, proteinuria, glucosuria, ketonuria, and bilirubinuria, with low urine specific gravity and metabolic acidosis (low CO₂, high chloride). These findings suggest impaired renal function, likely chronic kidney disease with possible nephrotic-range proteinuria. The abnormal urine appearance and color may indicate underlying urinary tract or hepatic pathology. HbA1c is unexpectedly low despite glucosuria; consider possible analytical error or altered red cell turnover. Clinical correlation and further nephrological and metabolic evaluation are recommended.</td>
                        </tr>
                     </table>
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               <security>
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                  <code value="TRAIN"/>
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               <tag>
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                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
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            <identifier>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="4543-821530-8"/>
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            <identifier>
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                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
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               <system value="http://local.setting.eu/identifier"/>
               <value value="12ef67e4-2698-90f4-7860-a5366805885f"/>
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            <name>
               <text value="Yves Rémy"/>
               <family value="Rémy"/>
               <given value="Yves"/>
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            <telecom>
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               <value value="+33 (0)1 53 38 28 55"/>
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            <gender value="male"/>
            <birthDate value="1948-05-16"/>
            <address>
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               <type value="physical"/>
               <line value="rue de Turpin"/>
               <city value="Cannes"/>
               <postalCode value="06400"/>
               <country value="France"/>
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                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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                  <code value="88805009"/>
                  <display value="Chronic congestive heart failure"/>
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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"/>
               </coding>
            </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="414545008"/>
                  <display value="Ischemic heart disease"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="64859006"/>
                  <display value="Osteoporosis"/>
               </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="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>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="90560007"/>
                  <display value="Gout"/>
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               <reference value="urn:uuid:ac469a83-c765-4b84-9ee5-c88ebc4e73cc"/>
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            <specimen>
               <reference value="urn:uuid:017cb8c4-7633-4ded-8211-560891cb5ec2"/>
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         <PractitionerRole>
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            <meta>
               <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: a4acaada-f9a2-4800-a86f-1597844ac20b</div>
            </text>
            <organization>
               <reference value="urn:uuid:4d57c364-c5ec-417b-ae1a-553dadd9dc34"/>
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         </PractitionerRole>
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      <fullUrl value="urn:uuid:4d57c364-c5ec-417b-ae1a-553dadd9dc34"/>
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         <Organization>
            <id value="4d57c364-c5ec-417b-ae1a-553dadd9dc34"/>
            <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: Clinique du Méridien</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="5a48e2b4-7213-49ca-9372-3dcd5daae18b"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Clinique du Méridien"/>
            <address>
               <city value="Cannes"/>
               <postalCode value="06150"/>
               <country value="France"/>
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         </Organization>
      </resource>
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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>
                     </tr>
                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">08-Jun-2025</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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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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            <collection>
               <collectedDateTime value="2025-06-08"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Collection Date</th>
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                     <tr>
                        <td>Urine specimen</td>
                        <td>
                           <span class="nb">08-Jun-2025</span>
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               </div>
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                  <code value="122575003"/>
                  <display value="Urine specimen"/>
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                        <th>Collection Date</th>
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                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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                        <th>08-Jun-2025</th>
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                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
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                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
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                  <code value="laboratory"/>
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               <coding>
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                  <code value="2345-7"/>
                  <display value="Glucose [Mass/volume] in Serum or Plasma"/>
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               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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               <code value="mg/dL"/>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
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                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
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                        <th>08-Jun-2025</th>
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                     <tr>
                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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                        <td/>
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               </div>
            </text>
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            <code>
               <coding>
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                  <code value="17861-6"/>
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               <text value="Calcium [Mass/volume] in Serum or Plasma"/>
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                        <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
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