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<?xml version='1.0' encoding='utf-8'?><ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" classCode="DOCCLIN" moodCode="EVN">
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<realmCode code="LU"/>
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<typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
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<templateId root="1.3.182.11.12"/>
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<templateId root="2.16.840.1.113883.10.20.30"/>
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<id root="72F191D6-8E8F-4CFB-A90C-0D661649C5C0"/>
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<code code="DT-20003" codeSystem="1.3.182.5.9" displayName="Déclaration laboratoire de maladie infectieuse"/>
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<effectiveTime value="20191223170011+0100"/>
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<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" codeSystemName="HL7:Confidentiality" displayName="Normal"/>
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<languageCode code="FR"/>
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<recordTarget>
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<patientRole>
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<id extension="P02017156" root="1.3.182.3.1.1.14326561.2"/>
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<id nullFlavor="UNK"/>
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<addr use="H">
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<streetAddressLine>--</streetAddressLine>
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<postalCode nullFlavor="UNK"/>
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<city nullFlavor="UNK"/>
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<country nullFlavor="UNK"/>
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</addr>
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<patient>
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<name>
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<family qualifier="BR">XXXLIAISONXXX</family>
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<given qualifier="BR">LABO LIAISON</given>
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</name>
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<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7:AdministrativeGender" displayName="Masculin"/>
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<birthTime value="19850101"/>
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</patient>
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</patientRole>
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</recordTarget>
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<author>
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<time value="20191223170011+0100"/>
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<assignedAuthor>
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<id extension="2999998882" root="1.3.182.4.1"/>
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<addr use="WP">
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<streetAddressLine>120, Avenue Salentiny</streetAddressLine>
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<postalCode>9080</postalCode>
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<city>ETTELBRUCK</city>
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<country>LUX</country>
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</addr>
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<telecom use="WP" value="tel:+352-8166 5202 7"/>
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| 42 |
<assignedPerson>
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| 43 |
<name>
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<family qualifier="BR">PARMENTIER</family>
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| 45 |
<given qualifier="BR">JACQUELINE</given>
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| 46 |
</name>
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</assignedPerson>
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| 48 |
</assignedAuthor>
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</author>
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<custodian>
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<assignedCustodian>
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| 52 |
<representedCustodianOrganization>
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<id extension="1432656197" root="1.3.182.4.1"/>
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<name>Centre Hospitalier du Nord</name>
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<telecom use="WP" value="tel:120, Avenue Salentiny"/>
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| 56 |
<addr use="WP">
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<streetAddressLine>14326561</streetAddressLine>
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<postalCode/>
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<city/>
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<country/>
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</addr>
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| 62 |
</representedCustodianOrganization>
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</assignedCustodian>
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</custodian>
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<legalAuthenticator>
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<time value="20191217153200+0100"/>
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<signatureCode code="S"/>
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<assignedEntity>
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<id extension="906030" root="1.3.182.4.1"/>
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<addr use="WP">
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| 71 |
<streetAddressLine>Centre Hospitalier du Nord</streetAddressLine>
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| 72 |
<postalCode/>
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| 73 |
<city/>
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| 74 |
<country/>
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| 75 |
</addr>
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| 76 |
<assignedPerson>
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| 77 |
<name>
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| 78 |
<family qualifier="BR">PARMENTIER</family>
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| 79 |
<given qualifier="BR">JACQUELINE</given>
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| 80 |
</name>
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| 81 |
</assignedPerson>
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| 82 |
</assignedEntity>
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| 83 |
</legalAuthenticator>
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| 84 |
<participant typeCode="REF">
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<templateId root="1.3.6.1.4.1.19376.1.3.3.1.6"/>
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| 86 |
<time value="20191217153200+0100"/>
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| 87 |
<associatedEntity classCode="PROV">
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| 88 |
<id extension="906030" root="1.3.182.4.6"/>
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| 89 |
<addr use="WP">
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<streetAddressLine>Centre Hospitalier du Nord 120, Avenue Salentiny</streetAddressLine>
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| 91 |
<postalCode>1210</postalCode>
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| 92 |
<city>LUXEMBOURG</city>
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| 93 |
<country>LUX</country>
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</addr>
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<telecom use="WP" value="tel:+352-8166 5202"/>
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| 96 |
<associatedPerson>
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| 97 |
<name>
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| 98 |
<family>PARMENTIER</family>
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| 99 |
<given>Jacqueline</given>
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| 100 |
</name>
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| 101 |
</associatedPerson>
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| 102 |
</associatedEntity>
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| 103 |
</participant>
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<component contextConductionInd="true" typeCode="COMP">
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<structuredBody classCode="DOCBODY" moodCode="EVN">
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<component>
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<section>
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<templateId root="1.3.182.11.12.2"/>
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<code code="" codeSystem="" displayName=""/>
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<entry>
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| 111 |
<organizer classCode="CLUSTER" moodCode="EVN">
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<templateId root="1.3.182.11.12.3"/>
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| 113 |
<statusCode code="completed"/>
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<component>
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| 115 |
<observation classCode="OBS" moodCode="EVN">
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| 116 |
<code code="HEPB-6" codeSystem="1.3.182.5.21"/>
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<value xsi:type="ST"/>
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</observation>
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| 119 |
</component>
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| 120 |
</organizer>
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| 121 |
</entry>
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| 122 |
</section>
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| 123 |
</component>
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</structuredBody>
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| 125 |
</component>
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</ClinicalDocument>
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