<Bundle xmlns="http://hl7.org/fhir">
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   <type value="document"/>
   <timestamp value="2018-04-19T14:59:51Z"/>
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            </text>
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            <status value="final"/>
            <type>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="11502-2"/>
                  <display value="Laboratory report"/>
               </coding>
               <text value="Laboratory Report"/>
            </type>
            <category>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
               </coding>
            </category>
            <subject>
               <reference value="urn:uuid:722630c6-d456-4c87-ba39-021fe445a4b0"/>
               <display value="Francesco Beffa"/>
            </subject>
            <date value="2018-04-19T14:59:51Z"/>
            <author>
               <reference value="urn:uuid:1dc41e80-cee9-41ac-baea-bcc0c89ae83b"/>
            </author>
            <title value="Laboratory Report"/>
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="26436-6"/>
                     <display value="Laboratory studies (set)"/>
                  </coding>
                  <text value="Laboratory studies"/>
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               <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>19-APR-2018</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.4 H</strong>
                                 </td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>93.6</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>9.3</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>8.5</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>138.9</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.2</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>103.2</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>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>178.4</td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>132.8</td>
                                 <td>0 - 150</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td>
                                 <td>98.4</td>
                                 <td>0 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td>
                                 <td>53.4</td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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            </section>
            <section>
               <title value="Annotation comment"/>
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                     <system value="http://loinc.org"/>
                     <code value="48767-8"/>
                     <display value="Annotation comment [Interpretation] Narrative"/>
                  </coding>
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                  <status value="generated"/>
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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 laboratory results show good kidney and electrolyte function, and a favorable lipid profile. However, the HbA1c is elevated (6.4%), indicating impaired glucose metabolism consistent with prediabetes or early diabetes. Glucose is currently normal. Recommend clinical follow-up for glycemic control and diabetes risk management.</td>
                        </tr>
                     </table>
                  </div>
               </text>
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               <reference value="urn:uuid:8aec3d8b-b2fc-4bcf-abfc-2da5f0652e23"/>
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            <result>
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            <result>
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            <result>
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         </DiagnosticReport>
      </resource>
   </entry>
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         <Patient>
            <id value="722630c6-d456-4c87-ba39-021fe445a4b0"/>
            <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>Francesco Beffa</td>
                        <td>male</td>
                        <td>16-Jan-1963</td>
                     </tr>
                  </table>
               </div>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
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                        <system value="urn:iso:std:iso:3166"/>
                        <code value="IT"/>
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               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="8775-026644-4"/>
            </identifier>
            <identifier>
               <type>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <value value="7fa059d0-b348-df39-046f-321169cc98e5"/>
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            <name>
               <text value="Francesco Beffa"/>
               <family value="Beffa"/>
               <given value="Francesco"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="0544382432"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1963-01-16"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Piazza Bombieri, 756 Piano 0"/>
               <city value="Gissi"/>
               <postalCode value="66052"/>
               <country value="Italy"/>
            </address>
         </Patient>
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            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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            <status value="active"/>
            <intent value="order"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:722630c6-d456-4c87-ba39-021fe445a4b0"/>
               <display value="Francesco Beffa"/>
            </subject>
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               <reference value="urn:uuid:2776d966-8ec9-4b58-a9b4-b99aec1ab817"/>
            </requester>
            <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="237602007"/>
                  <display value="Metabolic syndrome X"/>
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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>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="91302008"/>
                  <display value="Sepsis"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 2776d966-8ec9-4b58-a9b4-b99aec1ab817</div>
            </text>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Ospedale Civico Renzetti Lanciano</div>
            </text>
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            <name value="Ospedale Civico Renzetti Lanciano"/>
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               <line value="Via del Mare 1"/>
               <city value="Lanciano"/>
               <postalCode value="66034"/>
               <country value="Italy"/>
            </address>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">19-Apr-2018</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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                        <th>Collection Date</th>
                     </tr>
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                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">19-Apr-2018</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>19-Apr-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
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                        <th>Test</th>
                        <th>19-Apr-2018</th>
                        <th>Reference Range</th>
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                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>93.6</td>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
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                        <td>mg/dL</td>
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                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>1.0</td>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>8.5</td>
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                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.2</td>
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                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>103.2</td>
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