<Bundle xmlns="http://hl7.org/fhir">
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   </identifier>
   <type value="document"/>
   <timestamp value="2019-07-23T08:41:37Z"/>
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            <extension url="http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference">
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            <category>
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                  <system value="http://loinc.org"/>
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                  <display value="Laboratory studies (set)"/>
               </coding>
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               <display value="Hanna Gutmann"/>
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            <date value="2019-07-23T08:41:37Z"/>
            <author>
               <reference value="urn:uuid:0a572066-7b75-449d-a90b-14dd5205c189"/>
            </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"/>
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                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
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                     <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>23-JUL-2019</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>5.9 H</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>80.9</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>11.0</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>0.7</td>
                                 <td>0.5 - 1.1</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.8</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>139.5</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.7</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>106.2</td>
                                 <td>98 - 110</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>21.2 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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                  </entry>
                  <entry>
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                  </entry>
                  <entry>
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                  </entry>
                  <entry>
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                  </entry>
                  <entry>
                     <reference value="urn:uuid:f0e366a1-21d8-4cb6-8a35-d7841b673e1c"/>
                  </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>The patient shows a mildly elevated HbA1c (5.9%), indicating prediabetes, while fasting glucose is within normal limits. Renal function (urea, creatinine) and electrolytes are normal. Total CO₂ is slightly low, which may suggest mild metabolic acidosis or compensated respiratory alkalosis. No acute abnormalities detected; recommend monitoring glycemic status and considering further evaluation of acid-base balance if clinically indicated.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
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         <DiagnosticReport>
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               <status value="empty"/>
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                  <display value="HL7 Europe"/>
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            <identifier>
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               <value value="d53bd608-a25e-4a48-adf0-51bd20a5e9cb"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </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:4bca355e-5eba-4930-a880-cd175d2a1bb1"/>
               <display value="Hanna Gutmann"/>
            </subject>
            <specimen>
               <reference value="urn:uuid:a52b2b4f-c066-46c8-8b24-0f5542db8dc9"/>
            </specimen>
            <result>
               <reference value="urn:uuid:a382f589-56b3-479c-8f58-693630d2332b"/>
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            <result>
               <reference value="urn:uuid:3195d11f-9515-485b-afd2-796beb6b9464"/>
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            <result>
               <reference value="urn:uuid:89c09e0d-ea66-46c4-9226-5135b6269906"/>
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            <result>
               <reference value="urn:uuid:a9668d64-a0f9-4c60-a577-7540f4aef632"/>
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            <result>
               <reference value="urn:uuid:9e625c17-3440-47b7-a746-f45ecc44abe0"/>
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            <result>
               <reference value="urn:uuid:cb8e37b5-54ed-479c-b754-a28a6678ab65"/>
            </result>
            <result>
               <reference value="urn:uuid:1c329e25-3702-4956-815d-d70a1c8084c7"/>
            </result>
            <result>
               <reference value="urn:uuid:b5925f36-4e85-4c71-bf70-f976bd4e7b09"/>
            </result>
            <result>
               <reference value="urn:uuid:f0e366a1-21d8-4cb6-8a35-d7841b673e1c"/>
            </result>
         </DiagnosticReport>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:4bca355e-5eba-4930-a880-cd175d2a1bb1"/>
      <resource>
         <Patient>
            <id value="4bca355e-5eba-4930-a880-cd175d2a1bb1"/>
            <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>Hanna Gutmann</td>
                        <td>female</td>
                        <td>18-Feb-1969</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="AT"/>
                     </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="1078-407870-0"/>
            </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="d30471ab-4d49-a655-db66-5a913e5379ce"/>
            </identifier>
            <name>
               <text value="Hanna Gutmann"/>
               <family value="Gutmann"/>
               <given value="Hanna"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="03574 70151 945"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1969-02-18"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Matheo-Roth-Platz 967"/>
               <city value="Eferding"/>
               <postalCode value="4070"/>
               <country value="Austria"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:450cd908-fedd-417b-b77e-8213d161f3e7"/>
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         <ServiceRequest>
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            </meta>
            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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            <identifier>
               <system value="http://example.org"/>
               <value value="a2887285-e729-48e1-8723-d462ed8426cf"/>
            </identifier>
            <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:4bca355e-5eba-4930-a880-cd175d2a1bb1"/>
               <display value="Hanna Gutmann"/>
            </subject>
            <requester>
               <reference value="urn:uuid:294dd205-fe88-4ca3-b441-ff837d876823"/>
            </requester>
            <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="254837009"/>
                  <display value="Malignant neoplasm of breast"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:a52b2b4f-c066-46c8-8b24-0f5542db8dc9"/>
            </specimen>
         </ServiceRequest>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:294dd205-fe88-4ca3-b441-ff837d876823"/>
      <resource>
         <PractitionerRole>
            <id value="294dd205-fe88-4ca3-b441-ff837d876823"/>
            <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: 294dd205-fe88-4ca3-b441-ff837d876823</div>
            </text>
            <organization>
               <reference value="urn:uuid:6098901c-2f44-43aa-9ea2-92028a9a01ae"/>
            </organization>
         </PractitionerRole>
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   <entry>
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            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Dr. Hohl</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="1cab300f-8c95-4181-81c9-be75b0aa9051"/>
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                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Dr. Hohl"/>
            <address>
               <line value="Georgestraße 27"/>
               <city value="Langenstein"/>
               <postalCode value="4222"/>
               <country value="Austria"/>
            </address>
         </Organization>
      </resource>
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            </meta>
            <text>
               <status value="generated"/>
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                  <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">23-Jul-2019</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="2019-07-23"/>
            </collection>
         </Specimen>
      </resource>
   </entry>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>23-Jul-2019</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>5.9</td>
                        <td>4.0 - 5.6</td>
                        <td>H</td>
                        <td>%</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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               <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
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               <display value="Hanna Gutmann"/>
            </subject>
            <effectiveDateTime value="2019-07-23T06:41:37Z"/>
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            <valueQuantity>
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               <low>
                  <value value="4"/>
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               </low>
               <high>
                  <value value="5.6"/>
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               </high>
            </referenceRange>
         </Observation>
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   </entry>
   <entry>
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                  <table class="hl7__eu__lab__report">
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                        <th>Test</th>
                        <th>23-Jul-2019</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>80.9</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <display value="Glucose [Mass/volume] in Blood"/>
               </coding>
               <text value="Glucose [Mass/volume] in Blood"/>
            </code>
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            <effectiveDateTime value="2019-07-23T06:41:37Z"/>
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                  <code value="mg/dL"/>
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                        <td>Calcium [Mass/volume] in Blood</td>
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