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                  <display value="Laboratory studies (set)"/>
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               <display value="Patricia Joubert"/>
            </subject>
            <date value="2024-07-10T08:42:07Z"/>
            <author>
               <reference value="urn:uuid:dc60e295-4f09-4519-9187-09c50c6a5de7"/>
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            <title value="Laboratory Report"/>
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            <section>
               <title value="Laboratory Report"/>
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                  <title value="Chemistry"/>
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                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>10-JUL-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>93.8</td>
                                 <td>70 - 140</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>12.1</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>10.2</td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>137.8</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>4.1</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>110.6 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>28.3</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>
                           </tbody>
                        </table>
                     </div>
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                  <entry>
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                  <entry>
                     <reference value="urn:uuid:f554f83a-ea21-4a16-a4e0-d90538860c33"/>
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               </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"/>
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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>10-JUL-2024</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>2.1</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>1.2</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>
                                    <strong>4.1 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>5.4</td>
                                 <td>5.0 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>333.9 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>
                  <entry>
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                  <entry>
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               </section>
               <section>
                  <title value="Specimen information"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="LP7846-1"/>
                        <display value="Specimen information"/>
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                     <text value="Specimen information"/>
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                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Specimen information</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>10-JUL-2024</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>
                        </table>
                     </div>
                  </text>
                  <entry>
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                  <entry>
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                  <entry>
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                  <entry>
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            </section>
            <section>
               <title value="Annotation comment"/>
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                     <code value="48767-8"/>
                     <display value="Annotation comment [Interpretation] Narrative"/>
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                     <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>The patient shows elevated serum creatinine, suggesting impaired renal function, and high urine protein, ketones, and glucose, indicating possible nephropathy and glycosuria despite low-normal blood glucose and low HbA1c. Urine is dilute, brown, cloudy, and ammoniacal, raising concern for renal or urinary tract pathology. No evidence of infection (negative nitrites/leukocytes). Recommend further renal assessment and clinical correlation for possible chronic kidney disease and underlying metabolic disturbances.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Patricia Joubert</td>
                        <td>female</td>
                        <td>10-Sep-1939</td>
                     </tr>
                  </table>
               </div>
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            <name>
               <text value="Patricia Joubert"/>
               <family value="Joubert"/>
               <given value="Patricia"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="0760047035"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1939-09-10"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="7, chemin Lenoir"/>
               <city value="Delahaye-la-Forêt"/>
               <postalCode value="50570"/>
               <country value="France"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:61c82e2d-21bb-4e25-bff3-d4182cb76de7"/>
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         <ServiceRequest>
            <id value="61c82e2d-21bb-4e25-bff3-d4182cb76de7"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/>
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            <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="674209dd-a820-400c-97d4-ae7c81351fbb"/>
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            <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:dd17c201-b8a4-4b36-9813-4ae887356e06"/>
               <display value="Patricia Joubert"/>
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            <requester>
               <reference value="urn:uuid:4fd9380d-bd31-4325-89af-e030272f3737"/>
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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"/>
               </coding>
            </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"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26929004"/>
                  <display value="Alzheimer's disease"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="401303003"/>
                  <display value="Acute ST segment elevation myocardial infarction"/>
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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="414545008"/>
                  <display value="Ischemic heart disease"/>
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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="40055000"/>
                  <display value="Chronic sinusitis"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="79619009"/>
                  <display value="Mitral valve stenosis"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="55822004"/>
                  <display value="Hyperlipidemia"/>
               </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="59621000"/>
                  <display value="Essential hypertension"/>
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            </reasonCode>
            <specimen>
               <reference value="urn:uuid:e9e53895-0dca-469d-b4c3-4350b230847e"/>
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            <specimen>
               <reference value="urn:uuid:5871b6bf-4e0f-4243-992e-13a14c70250e"/>
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            <specimen>
               <reference value="urn:uuid:0d0d8a4e-1188-4a7d-90a3-085bb59be6a7"/>
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         </ServiceRequest>
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   <entry>
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         <PractitionerRole>
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            <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: 4fd9380d-bd31-4325-89af-e030272f3737</div>
            </text>
            <organization>
               <reference value="urn:uuid:1f1fccc2-41eb-438d-bb2e-b4f424fc206c"/>
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         </PractitionerRole>
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   <entry>
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         <Organization>
            <id value="1f1fccc2-41eb-438d-bb2e-b4f424fc206c"/>
            <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: Maison Médical</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="5154e2b1-f8aa-4527-b9a9-bf16627cc92a"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Maison Médical"/>
            <address>
               <country value="France"/>
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         </Organization>
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         <Specimen>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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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">10-Jul-2024</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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            <collection>
               <collectedDateTime value="2024-07-10"/>
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         </Specimen>
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   <entry>
      <fullUrl value="urn:uuid:5871b6bf-4e0f-4243-992e-13a14c70250e"/>
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         <Specimen>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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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>Urine specimen</td>
                        <td>
                           <span class="nb">10-Jul-2024</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="122575003"/>
                  <display value="Urine specimen"/>
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            <collection>
               <collectedDateTime value="2024-07-10"/>
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         </Specimen>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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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>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">10-Jul-2024</span>
                        </td>
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                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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            <collection>
               <collectedDateTime value="2024-07-10"/>
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   <entry>
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               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>10-Jul-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
                        <td>93.8</td>
                        <td>70 - 140</td>
                        <td/>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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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"/>
            </code>
            <subject>
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               <display value="Patricia Joubert"/>
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            <effectiveDateTime value="2024-07-10T06:42:07Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="93.8"/>
               <unit value="mg/dL"/>
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               <code value="mg/dL"/>
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            <specimen>
               <reference value="urn:uuid:e9e53895-0dca-469d-b4c3-4350b230847e"/>
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                  <code value="mg/dL"/>
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               <high>
                  <value value="140"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>10-Jul-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                        <td>12.1</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </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"/>
               </coding>
               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
            </code>
            <subject>
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               <display value="Patricia Joubert"/>
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            <performer>
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               <value value="12.1"/>
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               <code value="mg/dL"/>
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            <specimen>
               <reference value="urn:uuid:e9e53895-0dca-469d-b4c3-4350b230847e"/>
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               <low>
                  <value value="7"/>
                  <system value="http://unitsofmeasure.org"/>
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               <high>
                  <value value="20"/>
                  <system value="http://unitsofmeasure.org"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>10-Jul-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                        <td>2.1</td>
                        <td>0.6 - 1.3</td>
                        <td>H</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="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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               <display value="Patricia Joubert"/>
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            <performer>
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            <specimen>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>10-Jul-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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                        <td>8.6 - 10.3</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="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="Patricia Joubert"/>
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            <effectiveDateTime value="2024-07-10T06:42:07Z"/>
            <performer>
               <display value="The Central European Lab"/>
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               <high>
                  <value value="10.3"/>
                  <system value="http://unitsofmeasure.org"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>10-Jul-2024</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Sodium [Moles/volume] in Serum or Plasma</td>
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                        <td>135 - 145</td>
                        <td/>
                        <td>mmol/L</td>
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               </div>
            </text>
            <status value="final"/>
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            <code>
               <coding>
                  <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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            <subject>
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            <performer>
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               <high>
                  <value value="145"/>
                  <system value="http://unitsofmeasure.org"/>
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            <text>
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                  <table class="hl7__eu__lab__report">
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                        <th>Test</th>
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                  <value value="5.6"/>
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               <status value="generated"/>
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            <status value="active"/>
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            <recorded value="2024-07-10T08:42:07Z"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
                  <display value="training"/>
               </coding>
               <text value="Interoperability Testing and Training (non-clinical use)"/>
            </reason>
            <activity>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                  <code value="CREATE"/>
                  <display value="create"/>
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               <text value="Synthetic Example Data Generation"/>
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                     <code value="author"/>
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               <prefix value="dr"/>
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               <line value="Boulevard du Jardin Botanique 32"/>
               <city value="Brussels"/>
               <postalCode value="1000"/>
               <country value="Belgium"/>
            </address>
         </Practitioner>
      </resource>
   </entry>
</Bundle>