<confidentiality value="N"/> <section> <title value="Laboratory Report"/> <code> <coding> <system value="http://loinc.org"/> <code value="26436-6"/> <display value="Laboratory studies (set)"/> </coding> <text value="Laboratory studies"/> </code> <section> <title value="Chemistry"/> <code> <coding> <system value="http://loinc.org"/> <code value="18719-5"/> <display value="Chemistry studies (set)"/> </coding> <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>15-NOV-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td> <strong>5.8 H</strong> </td> <td>4.0 - 5.6</td> <td>%</td> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>92.8</td> <td>70 - 100</td> <td>mg/dL</td> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>19.5</td> <td>7 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td>1.0</td> <td>0.7 - 1.3</td> <td>mg/dL</td> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>9.0</td> <td>8.5 - 10.5</td> <td>mg/dL</td> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>139.6</td> <td>135 - 145</td> <td>mmol/L</td> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>4.6</td> <td>3.5 - 5.1</td> <td>mmol/L</td> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td>101.7</td> <td>98 - 107</td> <td>mmol/L</td> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>24.5</td> <td>22 - 29</td> <td>mmol/L</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:0fd6c790-7258-467a-af3a-01650858beff"/> </entry> <entry> <reference value="urn:uuid:c1b4756d-0974-4f90-8a8d-4a385b00ee0a"/> </entry> <entry> <reference value="urn:uuid:6c6a0f5f-7fa4-49cb-813b-473581693c75"/> </entry> <entry> <reference value="urn:uuid:07335355-ccca-4890-9d03-7a8c6cf4c9c7"/> </entry> <entry> <reference value="urn:uuid:a3ec9d7a-d7ad-4c16-bfe1-8d313b45f52f"/> </entry> <entry> <reference value="urn:uuid:3b99e595-9371-4b87-8c67-314b07858c41"/> </entry> <entry> <reference value="urn:uuid:16ce647b-e8d8-4f83-807e-249e1d0083e5"/> </entry> <entry> <reference value="urn:uuid:fc5d4e89-061c-41f8-94d6-642a57b94fb7"/> </entry> <entry> <reference value="urn:uuid:a0d124e6-8012-4260-9442-bf913bf98566"/> </entry> </section> </section> <section> <title value="Annotation comment"/> <code> <coding> <system value="http://loinc.org"/> <code value="48767-8"/> <display value="Annotation comment [Interpretation] Narrative"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <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>All measured parameters are within normal limits except for a mildly elevated HbA1c (5.8%), indicating impaired glucose tolerance or prediabetes. Renal function, electrolytes, and glucose are normal. Recommend monitoring glycemic status and considering lifestyle modifications to prevent progression to diabetes.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:4bc8abc9-3bdd-452c-9c2b-2e61390d0858"/> <resource> <DiagnosticReport> <id value="4bc8abc9-3bdd-452c-9c2b-2e61390d0858"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"/> </meta> <text> <status value="empty"/> <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div> </text> <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"> <valueReference> <reference value="urn:uuid:f1989119-d58a-41f0-8de3-2a87dd180587"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="acd1d6d4-3adb-48f6-a67b-86976ede22c0"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="4a08813a-4083-4364-9b48-ba7c78ae1485"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <status value="registered"/> <category> <coding> <system value="http://loinc.org"/> <code value="26436-6"/> <display value="Laboratory studies (set)"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="11502-2"/> <display value="Laboratory report"/> </coding> </code> <subject> <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/> <display value="Yves Rémy"/> </subject> <specimen> <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> </specimen> <result> <reference value="urn:uuid:0fd6c790-7258-467a-af3a-01650858beff"/> </result> <result> <reference value="urn:uuid:c1b4756d-0974-4f90-8a8d-4a385b00ee0a"/> </result> <result> <reference value="urn:uuid:6c6a0f5f-7fa4-49cb-813b-473581693c75"/> </result> <result> <reference value="urn:uuid:07335355-ccca-4890-9d03-7a8c6cf4c9c7"/> </result> <result> <reference value="urn:uuid:a3ec9d7a-d7ad-4c16-bfe1-8d313b45f52f"/> </result> <result> <reference value="urn:uuid:3b99e595-9371-4b87-8c67-314b07858c41"/> </result> <result> <reference value="urn:uuid:16ce647b-e8d8-4f83-807e-249e1d0083e5"/> </result> <result> <reference value="urn:uuid:fc5d4e89-061c-41f8-94d6-642a57b94fb7"/> </result> <result> <reference value="urn:uuid:a0d124e6-8012-4260-9442-bf913bf98566"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/> <resource> <Patient> <id value="32c7eafd-9ab0-4676-803e-61316ced169d"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> </security> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TRAIN"/> </security> <tag> <system value="https://synderai.net/fhir/CodeSystem/tags"/> <code value="synthetic"/> <display value="SYNDERAI Synthetic data"/> </tag> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Yves Rémy</td> <td>male</td> <td>16-May-1948</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality"> <extension url="code"> <valueCodeableConcept> <coding> <system value="urn:iso:std:iso:3166"/> <code value="FR"/> </coding> </valueCodeableConcept> </extension> </extension> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="JHN"/> </coding> </type> <system value="http://ec.europa.eu/identifier/eci"/> <value value="4543-821530-8"/> </identifier> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="http://local.setting.eu/identifier"/> <value value="12ef67e4-2698-90f4-7860-a5366805885f"/> </identifier> <name> <text value="Yves Rémy"/> <family value="Rémy"/> <given value="Yves"/> </name> <telecom> <system value="phone"/> <value value="+33 (0)1 53 38 28 55"/> </telecom> <gender value="male"/> <birthDate value="1948-05-16"/> <address> <use value="home"/> <type value="physical"/> <line value="rue de Turpin"/> <city value="Cannes"/> <postalCode value="06400"/> <country value="France"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:c08dc868-ba7d-4654-882c-adf2f3b57b29"/> <resource> <ServiceRequest> <id value="c08dc868-ba7d-4654-882c-adf2f3b57b29"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/> </meta> <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="2ceab3b8-1172-447a-931e-1c6e6c094bc3"/> </identifier> <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:32c7eafd-9ab0-4676-803e-61316ced169d"/> <display value="Yves Rémy"/> </subject> <requester> <reference value="urn:uuid:18c6e0fc-6d78-419c-bddd-d836e6e1cc71"/> </requester> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="88805009"/> <display value="Chronic congestive heart failure"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="431856006"/> <display value="Chronic kidney disease stage 2"/> </coding> </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="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"/> </coding> </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"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="90560007"/> <display value="Gout"/> </coding> </reasonCode> <specimen> <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> </specimen> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:18c6e0fc-6d78-419c-bddd-d836e6e1cc71"/> <resource> <PractitionerRole> <id value="18c6e0fc-6d78-419c-bddd-d836e6e1cc71"/> <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: 18c6e0fc-6d78-419c-bddd-d836e6e1cc71</div> </text> <organization> <reference value="urn:uuid:d425709a-060a-4580-a007-9cadb28189ed"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:d425709a-060a-4580-a007-9cadb28189ed"/> <resource> <Organization> <id value="d425709a-060a-4580-a007-9cadb28189ed"/> <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="a68d3192-618a-41db-8a8c-249682777c6a"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Clinique du Méridien"/> <address> <city value="Cannes"/> <postalCode value="06150"/> <country value="France"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> <resource> <Specimen> <id value="467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/> </meta> <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>Whole blood specimen (specimen)</td> <td> <span class="nb">15-Nov-2015</span> </td> </tr> </table> </div> </text> <type> <coding> <system value="http://snomed.info/sct"/> <code value="258580003"/> <display value="Whole blood specimen (specimen)"/> </coding> </type> <collection> <collectedDateTime value="2015-11-15"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:0fd6c790-7258-467a-af3a-01650858beff"/> <resource> <Observation> <id value="0fd6c790-7258-467a-af3a-01650858beff"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>15-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td>5.8</td> <td>4.0 - 5.6</td> <td>H</td> <td>%</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="4548-4"/> <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/> </coding> <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/> </code> <subject> <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/> <display value="Yves Rémy"/> </subject> <effectiveDateTime value="2015-11-15T05:32:03Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="5.8"/> <unit value="%"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="H"/> <display value="High"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> </specimen> <referenceRange> <low> <value value="4"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </low> <high> <value value="5.6"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:c1b4756d-0974-4f90-8a8d-4a385b00ee0a"/> <resource> <Observation> <id value="c1b4756d-0974-4f90-8a8d-4a385b00ee0a"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>15-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>92.8</td> <td>70 - 100</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="2339-0"/> <display value="Glucose [Mass/volume] in Blood"/> </coding> <text value="Glucose [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/> <display value="Yves Rémy"/> </subject> <effectiveDateTime value="2015-11-15T05:32:03Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="92.8"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> </specimen> <referenceRange> <low> <value value="70"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="100"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:6c6a0f5f-7fa4-49cb-813b-473581693c75"/> <resource> <Observation> <id value="6c6a0f5f-7fa4-49cb-813b-473581693c75"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>15-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>19.5</td> <td>7 - 20</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="6299-2"/> <display value="Urea nitrogen [Mass/volume] in Blood"/> </coding> <text value="Urea nitrogen [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/> <display value="Yves Rémy"/> </subject> <effectiveDateTime value="2015-11-15T05:32:03Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="19.5"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> </specimen> <referenceRange> <low> <value value="7"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="20"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:07335355-ccca-4890-9d03-7a8c6cf4c9c7"/> <resource> <Observation> <id value="07335355-ccca-4890-9d03-7a8c6cf4c9c7"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>15-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td>1.0</td> <td>0.7 - 1.3</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="38483-4"/> <display value="Creatinine [Mass/volume] in Blood"/> </coding> <text value="Creatinine [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/> <display value="Yves Rémy"/> </subject> <effectiveDateTime value="2015-11-15T05:32:03Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="1"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> </specimen> <referenceRange> <low> <value value="0.7"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="1.3"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a3ec9d7a-d7ad-4c16-bfe1-8d313b45f52f"/> <resource> <Observation> <id value="a3ec9d7a-d7ad-4c16-bfe1-8d313b45f52f"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>15-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>9.0</td> <td>8.5 - 10.5</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="49765-1"/> <display value="Calcium [Mass/volume] in Blood"/> </coding> <text value="Calcium [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/> <display value="Yves Rémy"/> </subject> <effectiveDateTime value="2015-11-15T05:32:03Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="9"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> </specimen> <referenceRange> <low> <value value="8.5"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="10.5"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:3b99e595-9371-4b87-8c67-314b07858c41"/> <resource> <Observation> <id value="3b99e595-9371-4b87-8c67-314b07858c41"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>15-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>139.6</td> <td>135 - 145</td> <td/> <td>mmol/L</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="2947-0"/> <display value="Sodium [Moles/volume] in Blood"/> </coding> <text value="Sodium [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/> <display value="Yves Rémy"/> </subject> <effectiveDateTime value="2015-11-15T05:32:03Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="139.6"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> </specimen> <referenceRange> <low> <value value="135"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="145"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:16ce647b-e8d8-4f83-807e-249e1d0083e5"/> <resource> <Observation> <id value="16ce647b-e8d8-4f83-807e-249e1d0083e5"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>15-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>4.6</td> <td>3.5 - 5.1</td> <td/> <td>mmol/L</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="6298-4"/> <display value="Potassium [Moles/volume] in Blood"/> </coding> <text value="Potassium [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/> <display value="Yves Rémy"/> </subject> <effectiveDateTime value="2015-11-15T05:32:03Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="4.6"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> </specimen> <referenceRange> <low> <value value="3.5"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="5.1"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:fc5d4e89-061c-41f8-94d6-642a57b94fb7"/> <resource> <Observation> <id value="fc5d4e89-061c-41f8-94d6-642a57b94fb7"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>15-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td>101.7</td> <td>98 - 107</td> <td/> <td>mmol/L</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="2069-3"/> <display value="Chloride [Moles/volume] in Blood"/> </coding> <text value="Chloride [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/> <display value="Yves Rémy"/> </subject> <effectiveDateTime value="2015-11-15T05:32:03Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="101.7"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> </specimen> <referenceRange> <low> <value value="98"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="107"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a0d124e6-8012-4260-9442-bf913bf98566"/> <resource> <Observation> <id value="a0d124e6-8012-4260-9442-bf913bf98566"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>15-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>24.5</td> <td>22 - 29</td> <td/> <td>mmol/L</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="20565-8"/> <display value="Carbon dioxide, total [Moles/volume] in Blood"/> </coding> <text value="Carbon dioxide, total [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/> <display value="Yves Rémy"/> </subject> <effectiveDateTime value="2015-11-15T05:32:03Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="24.5"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/> </specimen> <referenceRange> <low> <value value="22"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="29"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:477eef1a-f37a-4738-8c7d-6c12065af05a"/> <resource> <Device> <id value="477eef1a-f37a-4738-8c7d-6c12065af05a"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">SYNDERAI Synthetic Generator v5.0</div> </text> <status value="active"/> <distinctIdentifier value="synderai-generator-50"/> <manufacturer value="SYNDERAI Project"/> <deviceName> <name value="SYNDERAI Synthetic Generator"/> <type value="manufacturer-name"/> </deviceName> <version> <value value="5.0"/> </version> </Device> </resource> </entry> <entry> <fullUrl value="urn:uuid:d9660e1b-a590-408a-9c50-75031c9b4c1d"/> <resource> <Provenance> <id value="d9660e1b-a590-408a-9c50-75031c9b4c1d"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div> </text> <target> <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/> </target> <target> <reference value="urn:uuid:f1989119-d58a-41f0-8de3-2a87dd180587"/> </target> <target> <reference value="urn:uuid:5c230f62-4073-433a-8dbc-fab0afe29a7e"/> </target> <target> <reference value="urn:uuid:d6067103-c419-4458-a12c-e3f1c49eaecf"/> </target> <target> <reference value="urn:uuid:18c6e0fc-6d78-419c-bddd-d836e6e1cc71"/> </target> <target> <reference value="urn:uuid:d425709a-060a-4580-a007-9cadb28189ed"/> </target> <recorded value="2015-11-15T06:32:03Z"/> <policy value="https://synderai.net/synderai-synthetic-data-policy"/> <reason> <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"/> </coding> <text value="Synthetic Example Data Generation"/> </activity> <agent> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/> <code value="author"/> <display value="Author"/> </coding> <text value="author"/> </type> <who> <reference value="urn:uuid:477eef1a-f37a-4738-8c7d-6c12065af05a"/> </who> </agent> </Provenance> </resource> </entry> <entry> <fullUrl value="urn:uuid:5c230f62-4073-433a-8dbc-fab0afe29a7e"/> <resource> <PractitionerRole> <id value="5c230f62-4073-433a-8dbc-fab0afe29a7e"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Laboratory Role Id: 5c230f62-4073-433a-8dbc-fab0afe29a7e</div> </text> <practitioner> <reference value="urn:uuid:d6067103-c419-4458-a12c-e3f1c49eaecf"/> </practitioner> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:d6067103-c419-4458-a12c-e3f1c49eaecf"/> <resource> <Practitioner> <id value="d6067103-c419-4458-a12c-e3f1c49eaecf"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="252dbe6d-0996-4e1c-8685-33d5c98a4abc"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Ample"/> <given value="Ex"/> <prefix value="dr"/> </name> <address> <line value="Laboratoire Central Européenne"/> <line value="Boulevard du Jardin Botanique 32"/> <city value="Brussels"/> <postalCode value="1000"/> <country value="Belgium"/> </address> </Practitioner> </resource> </entry> </Bundle>

intentionally left empty / not meaningful


            
               
                  
                  
                  
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="26436-6"/>
                     <display value="Laboratory studies (set)"/>
                  </coding>
                  <text value="Laboratory studies"/>
               </code>
               <section>
                  <title value="Chemistry"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
                     </coding>
                     <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>15-NOV-2015</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>5.8 H</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>92.8</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>19.5</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>1.0</td>
                                 <td>0.7 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.0</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>139.6</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.6</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>101.7</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>24.5</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
                  <entry>
                     <reference value="urn:uuid:0fd6c790-7258-467a-af3a-01650858beff"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:c1b4756d-0974-4f90-8a8d-4a385b00ee0a"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:6c6a0f5f-7fa4-49cb-813b-473581693c75"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:07335355-ccca-4890-9d03-7a8c6cf4c9c7"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:a3ec9d7a-d7ad-4c16-bfe1-8d313b45f52f"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:3b99e595-9371-4b87-8c67-314b07858c41"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:16ce647b-e8d8-4f83-807e-249e1d0083e5"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:fc5d4e89-061c-41f8-94d6-642a57b94fb7"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:a0d124e6-8012-4260-9442-bf913bf98566"/>
                  </entry>
               </section>
            </section>
            <section>
               <title value="Annotation comment"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="48767-8"/>
                     <display value="Annotation comment [Interpretation] Narrative"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <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>All measured parameters are within normal limits except for a mildly elevated HbA1c (5.8%), indicating impaired glucose tolerance or prediabetes. Renal function, electrolytes, and glucose are normal. Recommend monitoring glycemic status and considering lifestyle modifications to prevent progression to diabetes.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:4bc8abc9-3bdd-452c-9c2b-2e61390d0858"/>
      <resource>
         <DiagnosticReport>
            <id value="4bc8abc9-3bdd-452c-9c2b-2e61390d0858"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"/>
            </meta>
            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
            </text>
            <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition">
               <valueReference>
                  <reference value="urn:uuid:f1989119-d58a-41f0-8de3-2a87dd180587"/>
               </valueReference>
            </extension>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="acd1d6d4-3adb-48f6-a67b-86976ede22c0"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="4a08813a-4083-4364-9b48-ba7c78ae1485"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <status value="registered"/>
            <category>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="11502-2"/>
                  <display value="Laboratory report"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/>
               <display value="Yves Rémy"/>
            </subject>
            <specimen>
               <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/>
            </specimen>
            <result>
               <reference value="urn:uuid:0fd6c790-7258-467a-af3a-01650858beff"/>
            </result>
            <result>
               <reference value="urn:uuid:c1b4756d-0974-4f90-8a8d-4a385b00ee0a"/>
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            <result>
               <reference value="urn:uuid:6c6a0f5f-7fa4-49cb-813b-473581693c75"/>
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            <result>
               <reference value="urn:uuid:07335355-ccca-4890-9d03-7a8c6cf4c9c7"/>
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               <reference value="urn:uuid:a3ec9d7a-d7ad-4c16-bfe1-8d313b45f52f"/>
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               <reference value="urn:uuid:3b99e595-9371-4b87-8c67-314b07858c41"/>
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            <result>
               <reference value="urn:uuid:16ce647b-e8d8-4f83-807e-249e1d0083e5"/>
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            <result>
               <reference value="urn:uuid:fc5d4e89-061c-41f8-94d6-642a57b94fb7"/>
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            <result>
               <reference value="urn:uuid:a0d124e6-8012-4260-9442-bf913bf98566"/>
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         </DiagnosticReport>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/>
      <resource>
         <Patient>
            <id value="32c7eafd-9ab0-4676-803e-61316ced169d"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
               </security>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
               </security>
               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
               </tag>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Yves Rémy</td>
                        <td>male</td>
                        <td>16-May-1948</td>
                     </tr>
                  </table>
               </div>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
                  <valueCodeableConcept>
                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="FR"/>
                     </coding>
                  </valueCodeableConcept>
               </extension>
            </extension>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
                  </coding>
               </type>
               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="4543-821530-8"/>
            </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="12ef67e4-2698-90f4-7860-a5366805885f"/>
            </identifier>
            <name>
               <text value="Yves Rémy"/>
               <family value="Rémy"/>
               <given value="Yves"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+33 (0)1 53 38 28 55"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1948-05-16"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="rue de Turpin"/>
               <city value="Cannes"/>
               <postalCode value="06400"/>
               <country value="France"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:c08dc868-ba7d-4654-882c-adf2f3b57b29"/>
      <resource>
         <ServiceRequest>
            <id value="c08dc868-ba7d-4654-882c-adf2f3b57b29"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/>
            </meta>
            <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="2ceab3b8-1172-447a-931e-1c6e6c094bc3"/>
            </identifier>
            <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:32c7eafd-9ab0-4676-803e-61316ced169d"/>
               <display value="Yves Rémy"/>
            </subject>
            <requester>
               <reference value="urn:uuid:18c6e0fc-6d78-419c-bddd-d836e6e1cc71"/>
            </requester>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="88805009"/>
                  <display value="Chronic congestive heart failure"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431856006"/>
                  <display value="Chronic kidney disease stage 2"/>
               </coding>
            </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="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"/>
               </coding>
            </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"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="90560007"/>
                  <display value="Gout"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/>
            </specimen>
         </ServiceRequest>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:18c6e0fc-6d78-419c-bddd-d836e6e1cc71"/>
      <resource>
         <PractitionerRole>
            <id value="18c6e0fc-6d78-419c-bddd-d836e6e1cc71"/>
            <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: 18c6e0fc-6d78-419c-bddd-d836e6e1cc71</div>
            </text>
            <organization>
               <reference value="urn:uuid:d425709a-060a-4580-a007-9cadb28189ed"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:d425709a-060a-4580-a007-9cadb28189ed"/>
      <resource>
         <Organization>
            <id value="d425709a-060a-4580-a007-9cadb28189ed"/>
            <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="a68d3192-618a-41db-8a8c-249682777c6a"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Clinique du Méridien"/>
            <address>
               <city value="Cannes"/>
               <postalCode value="06150"/>
               <country value="France"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/>
      <resource>
         <Specimen>
            <id value="467ab442-bb5b-4f7b-abec-59a4acd89c2d"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
            </meta>
            <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>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">15-Nov-2015</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
               </coding>
            </type>
            <collection>
               <collectedDateTime value="2015-11-15"/>
            </collection>
         </Specimen>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:0fd6c790-7258-467a-af3a-01650858beff"/>
      <resource>
         <Observation>
            <id value="0fd6c790-7258-467a-af3a-01650858beff"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>15-Nov-2015</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>5.8</td>
                        <td>4.0 - 5.6</td>
                        <td>H</td>
                        <td>%</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="4548-4"/>
                  <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
               </coding>
               <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/>
               <display value="Yves Rémy"/>
            </subject>
            <effectiveDateTime value="2015-11-15T05:32:03Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="5.8"/>
               <unit value="%"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="%"/>
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            <interpretation>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="H"/>
                  <display value="High"/>
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            </interpretation>
            <specimen>
               <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/>
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            <referenceRange>
               <low>
                  <value value="4"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="%"/>
               </low>
               <high>
                  <value value="5.6"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="%"/>
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            </referenceRange>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:c1b4756d-0974-4f90-8a8d-4a385b00ee0a"/>
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         <Observation>
            <id value="c1b4756d-0974-4f90-8a8d-4a385b00ee0a"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-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>Test</th>
                        <th>15-Nov-2015</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>92.8</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <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="2339-0"/>
                  <display value="Glucose [Mass/volume] in Blood"/>
               </coding>
               <text value="Glucose [Mass/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/>
               <display value="Yves Rémy"/>
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            <effectiveDateTime value="2015-11-15T05:32:03Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="92.8"/>
               <unit value="mg/dL"/>
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               <code value="mg/dL"/>
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            <specimen>
               <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/>
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                  <value value="70"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
               </low>
               <high>
                  <value value="100"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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            </referenceRange>
         </Observation>
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   <entry>
      <fullUrl value="urn:uuid:6c6a0f5f-7fa4-49cb-813b-473581693c75"/>
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         <Observation>
            <id value="6c6a0f5f-7fa4-49cb-813b-473581693c75"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-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>Test</th>
                        <th>15-Nov-2015</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>19.5</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <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="6299-2"/>
                  <display value="Urea nitrogen [Mass/volume] in Blood"/>
               </coding>
               <text value="Urea nitrogen [Mass/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/>
               <display value="Yves Rémy"/>
            </subject>
            <effectiveDateTime value="2015-11-15T05:32:03Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="19.5"/>
               <unit value="mg/dL"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
            </valueQuantity>
            <specimen>
               <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/>
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            <referenceRange>
               <low>
                  <value value="7"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
               </low>
               <high>
                  <value value="20"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
               </high>
            </referenceRange>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:07335355-ccca-4890-9d03-7a8c6cf4c9c7"/>
      <resource>
         <Observation>
            <id value="07335355-ccca-4890-9d03-7a8c6cf4c9c7"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-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>Test</th>
                        <th>15-Nov-2015</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>1.0</td>
                        <td>0.7 - 1.3</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <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="38483-4"/>
                  <display value="Creatinine [Mass/volume] in Blood"/>
               </coding>
               <text value="Creatinine [Mass/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/>
               <display value="Yves Rémy"/>
            </subject>
            <effectiveDateTime value="2015-11-15T05:32:03Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="1"/>
               <unit value="mg/dL"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
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            <specimen>
               <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/>
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            <referenceRange>
               <low>
                  <value value="0.7"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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               <high>
                  <value value="1.3"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
               </high>
            </referenceRange>
         </Observation>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:a3ec9d7a-d7ad-4c16-bfe1-8d313b45f52f"/>
      <resource>
         <Observation>
            <id value="a3ec9d7a-d7ad-4c16-bfe1-8d313b45f52f"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-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>Test</th>
                        <th>15-Nov-2015</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>9.0</td>
                        <td>8.5 - 10.5</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </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="49765-1"/>
                  <display value="Calcium [Mass/volume] in Blood"/>
               </coding>
               <text value="Calcium [Mass/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/>
               <display value="Yves Rémy"/>
            </subject>
            <effectiveDateTime value="2015-11-15T05:32:03Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="9"/>
               <unit value="mg/dL"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
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            <specimen>
               <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/>
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            <referenceRange>
               <low>
                  <value value="8.5"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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               <high>
                  <value value="10.5"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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            </referenceRange>
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   <entry>
      <fullUrl value="urn:uuid:3b99e595-9371-4b87-8c67-314b07858c41"/>
      <resource>
         <Observation>
            <id value="3b99e595-9371-4b87-8c67-314b07858c41"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-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>Test</th>
                        <th>15-Nov-2015</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>139.6</td>
                        <td>135 - 145</td>
                        <td/>
                        <td>mmol/L</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2947-0"/>
                  <display value="Sodium [Moles/volume] in Blood"/>
               </coding>
               <text value="Sodium [Moles/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/>
               <display value="Yves Rémy"/>
            </subject>
            <effectiveDateTime value="2015-11-15T05:32:03Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="139.6"/>
               <unit value="mmol/L"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mmol/L"/>
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            <specimen>
               <reference value="urn:uuid:467ab442-bb5b-4f7b-abec-59a4acd89c2d"/>
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            <referenceRange>
               <low>
                  <value value="135"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
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               <high>
                  <value value="145"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
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            </referenceRange>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:16ce647b-e8d8-4f83-807e-249e1d0083e5"/>
      <resource>
         <Observation>
            <id value="16ce647b-e8d8-4f83-807e-249e1d0083e5"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-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>Test</th>
                        <th>15-Nov-2015</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.6</td>
                        <td>3.5 - 5.1</td>
                        <td/>
                        <td>mmol/L</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6298-4"/>
                  <display value="Potassium [Moles/volume] in Blood"/>
               </coding>
               <text value="Potassium [Moles/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:32c7eafd-9ab0-4676-803e-61316ced169d"/>
               <display value="Yves Rémy"/>
            </subject>
            <effectiveDateTime value="2015-11-15T05:32:03Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="4.6"/>
               <unit value="mmol/L"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mmol/L"/>
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                        <td>Chloride [Moles/volume] in Blood</td>
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</Bundle>