<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>18-MAY-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Glucose [Mass/volume] in Serum or Plasma</td> <td>87.1</td> <td>70 - 100</td> <td>mg/dL</td> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td> <td>11.1</td> <td>7 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Creatinine [Mass/volume] in Serum or Plasma</td> <td> <strong>2.1 H</strong> </td> <td>0.6 - 1.3</td> <td>mg/dL</td> </tr> <tr> <td>Calcium [Mass/volume] in Serum or Plasma</td> <td> <strong>8.5 L</strong> </td> <td>8.6 - 10.3</td> <td>mg/dL</td> </tr> <tr> <td>Sodium [Moles/volume] in Serum or Plasma</td> <td>138.9</td> <td>135 - 145</td> <td>mmol/L</td> </tr> <tr> <td>Potassium [Moles/volume] in Serum or Plasma</td> <td>3.9</td> <td>3.5 - 5.1</td> <td>mmol/L</td> </tr> <tr> <td>Chloride [Moles/volume] in Serum or Plasma</td> <td> <strong>110.6 H</strong> </td> <td>98 - 107</td> <td>mmol/L</td> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td> <td>25.7</td> <td>22 - 29</td> <td>mmol/L</td> </tr> <tr> <td>Ketones [Presence] in Urine by Test strip</td> <td>Urine ketone test = +</td> <td/> <td/> </tr> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td> <strong>3.4 L</strong> </td> <td>4.8 - 5.9</td> <td>%</td> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>87.1</td> <td>70 - 100</td> <td>mg/dL</td> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>11.1</td> <td>7 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td> <strong>2.5 H</strong> </td> <td>0.6 - 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>3.9</td> <td>3.5 - 5.1</td> <td>mmol/L</td> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td> <strong>110.6 H</strong> </td> <td>98 - 110</td> <td>mmol/L</td> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>25.7</td> <td>22 - 29</td> <td>mmol/L</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:14dc5264-3d97-4fd0-a9f4-276416878285"/> </entry> <entry> <reference value="urn:uuid:4aa19e7d-7687-4bcd-9ca3-5a73cfabe061"/> </entry> <entry> <reference value="urn:uuid:8f5951bd-d874-4b4a-bbae-c7100e11e11e"/> </entry> <entry> <reference value="urn:uuid:c760dcf5-742a-4d6e-ad9a-3356197ad7bd"/> </entry> <entry> <reference value="urn:uuid:63d5b0de-2e2f-4f51-bed5-bb71aca62f03"/> </entry> <entry> <reference value="urn:uuid:213d9ca3-6bd6-4f81-9ee3-29acf2a0adb3"/> </entry> <entry> <reference value="urn:uuid:66b40adf-5d68-485a-8121-a8cb3cdcdfab"/> </entry> <entry> <reference value="urn:uuid:4d55ccaa-f3bc-4ff5-831d-7b1794d7d79c"/> </entry> <entry> <reference value="urn:uuid:e9b6960d-ae11-4a01-97ea-8ce02185af98"/> </entry> <entry> <reference value="urn:uuid:d20a91c2-ce1d-49f1-bbc8-ec53a2619016"/> </entry> <entry> <reference value="urn:uuid:608f217b-c90f-4344-9331-9589d96d8130"/> </entry> <entry> <reference value="urn:uuid:89d2d461-45bc-41aa-af41-7936f3c50fda"/> </entry> <entry> <reference value="urn:uuid:d9ac0d19-c998-468f-a048-cec91db361a2"/> </entry> <entry> <reference value="urn:uuid:0ebb01c9-e087-4184-82aa-c2c754fcdb87"/> </entry> <entry> <reference value="urn:uuid:5adbfb21-b376-4822-8e5a-0836a21ddc7d"/> </entry> <entry> <reference value="urn:uuid:1aa385d8-fa57-4ddd-925c-873daaa14016"/> </entry> <entry> <reference value="urn:uuid:41c5e41c-2876-4f51-876b-7832e15d3021"/> </entry> <entry> <reference value="urn:uuid:b9ffe824-4957-4fb3-bcfd-6faf9926c76f"/> </entry> </section> <section> <title value="Urinalysis"/> <code> <coding> <system value="http://loinc.org"/> <code value="18729-4"/> <display value="Urinalysis studies (set)"/> </coding> <text value="Urinalysis"/> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h3>Urinalysis</h3> <table class="hl7__eu__lab__report"> <thead> <tr> <th>Test</th> <th>18-MAY-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Glucose [Mass/volume] in Urine by Test strip</td> <td>0.8</td> <td>0 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Glucose [Presence] in Urine by Test strip</td> <td>Urine glucose test = ++</td> <td/> <td/> </tr> <tr> <td>Bilirubin.total [Mass/volume] in Urine by Test strip</td> <td>0.3</td> <td>0 - 4</td> <td>mg/dL</td> </tr> <tr> <td>Bilirubin.total [Presence] in Urine by Test strip</td> <td>Finding of bilirubin in urine</td> <td/> <td/> </tr> <tr> <td>Ketones [Mass/volume] in Urine by Test strip</td> <td> <strong>12.6 H</strong> </td> <td>0 - 4</td> <td>mg/dL</td> </tr> <tr> <td>Specific gravity of Urine by Test strip</td> <td> <strong>1.0 L</strong> </td> <td>1.005 - 1.030</td> <td>{nominal}</td> </tr> <tr> <td>pH of Urine by Test strip</td> <td>6.2</td> <td>5.0 - 8.0</td> <td>pH</td> </tr> <tr> <td>Protein [Mass/volume] in Urine by Test strip</td> <td> <strong>198.7 H</strong> </td> <td>0 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Protein [Presence] in Urine by Test strip</td> <td>Urine protein test = ++</td> <td/> <td/> </tr> <tr> <td>Nitrite [Presence] in Urine by Test strip</td> <td>Urine nitrite negative</td> <td/> <td/> </tr> <tr> <td>Hemoglobin [Presence] in Urine by Test strip</td> <td>Urine blood test = negative</td> <td/> <td/> </tr> <tr> <td>Leukocyte esterase [Presence] in Urine by Test strip</td> <td>Urine leukocyte test negative</td> <td/> <td/> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:af359c3b-2316-48aa-9fd4-1e9b5314ee7e"/> </entry> <entry> <reference value="urn:uuid:1c96f435-3ac0-4be8-8355-5221feabaf85"/> </entry> <entry> <reference value="urn:uuid:54207ad3-b925-474a-b5fe-29b7e51310dd"/> </entry> <entry> <reference value="urn:uuid:dc5070c5-e611-458d-af0d-f1580b4164ac"/> </entry> <entry> <reference value="urn:uuid:44b98cd8-4ff4-417c-8e37-a73108f13890"/> </entry> <entry> <reference value="urn:uuid:11ce2fa1-29b6-4821-b93b-2b427e563ebb"/> </entry> <entry> <reference value="urn:uuid:0539bb48-4d35-4846-9c37-859bd9b62d47"/> </entry> <entry> <reference value="urn:uuid:f62b2cb2-b84f-44f0-ac33-ca23326310fa"/> </entry> <entry> <reference value="urn:uuid:84db76ec-c0ad-4a16-9b33-4df2b4a5da26"/> </entry> <entry> <reference value="urn:uuid:e74cf528-c56a-4795-acbe-d3c5bcf26f87"/> </entry> <entry> <reference value="urn:uuid:36d8d519-ff0f-4734-be3c-58947c9660bc"/> </entry> <entry> <reference value="urn:uuid:87cf0307-54f5-42e9-9aa9-e96a3cbb62a2"/> </entry> </section> <section> <title value="Specimen information"/> <code> <coding> <system value="http://loinc.org"/> <code value="LP7846-1"/> <display value="Specimen information"/> </coding> <text value="Specimen information"/> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h3>Specimen information</h3> <table class="hl7__eu__lab__report"> <thead> <tr> <th>Test</th> <th>18-MAY-2025</th> <th>Specimen</th> <th/> </tr> </thead> <tbody> <tr> <td>Appearance of Urine</td> <td>Cloudy urine</td> <td>Urine</td> <td/> </tr> <tr> <td>Odor of Urine</td> <td>Urine smell ammoniacal</td> <td>Urine</td> <td/> </tr> <tr> <td>Clarity of Urine</td> <td>Translucent</td> <td>Urine</td> <td/> </tr> <tr> <td>Color of Urine</td> <td>Brown color</td> <td>Urine</td> <td/> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:11aba32e-92e8-44d1-982a-ce3356c87085"/> </entry> <entry> <reference value="urn:uuid:7828efe3-cff8-4894-90b6-b5b5c6d8faa4"/> </entry> <entry> <reference value="urn:uuid:7b42ad1f-b834-4192-8515-772696a764b5"/> </entry> <entry> <reference value="urn:uuid:069a4135-7e69-4edc-b92e-be07e28f274f"/> </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 elevated creatinine, proteinuria, and low urine specific gravity, suggesting impaired renal function. Urine is cloudy, brown, and ammoniacal, but without evidence of infection (negative nitrite/leukocytes). There is also hypocalcemia, hyperchloremia, and elevated urinary ketones. HbA1c is unexpectedly low. Findings are consistent with chronic kidney disease, possibly with acute component; further nephrological evaluation is recommended.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:4ef16fd5-ba5e-4836-912c-00b98113494b"/> <resource> <DiagnosticReport> <id value="4ef16fd5-ba5e-4836-912c-00b98113494b"/> <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:73342c40-bfd5-4cb0-8663-4820062b99df"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="eacf1059-1982-4760-97c4-0fd263fd9549"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="a2e18c14-d6e3-48ae-ad33-549c5f26aa49"/> <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:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <specimen> <reference value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/> </specimen> <specimen> <reference value="urn:uuid:80e5dc02-34bc-488c-afca-ba1df70ba648"/> </specimen> <specimen> <reference value="urn:uuid:c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/> </specimen> <result> <reference value="urn:uuid:14dc5264-3d97-4fd0-a9f4-276416878285"/> </result> <result> <reference value="urn:uuid:4aa19e7d-7687-4bcd-9ca3-5a73cfabe061"/> </result> <result> <reference value="urn:uuid:8f5951bd-d874-4b4a-bbae-c7100e11e11e"/> </result> <result> <reference value="urn:uuid:c760dcf5-742a-4d6e-ad9a-3356197ad7bd"/> </result> <result> <reference value="urn:uuid:63d5b0de-2e2f-4f51-bed5-bb71aca62f03"/> </result> <result> <reference value="urn:uuid:213d9ca3-6bd6-4f81-9ee3-29acf2a0adb3"/> </result> <result> <reference value="urn:uuid:66b40adf-5d68-485a-8121-a8cb3cdcdfab"/> </result> <result> <reference value="urn:uuid:4d55ccaa-f3bc-4ff5-831d-7b1794d7d79c"/> </result> <result> <reference value="urn:uuid:11aba32e-92e8-44d1-982a-ce3356c87085"/> </result> <result> <reference value="urn:uuid:7828efe3-cff8-4894-90b6-b5b5c6d8faa4"/> </result> <result> <reference value="urn:uuid:7b42ad1f-b834-4192-8515-772696a764b5"/> </result> <result> <reference value="urn:uuid:069a4135-7e69-4edc-b92e-be07e28f274f"/> </result> <result> <reference value="urn:uuid:af359c3b-2316-48aa-9fd4-1e9b5314ee7e"/> </result> <result> <reference value="urn:uuid:1c96f435-3ac0-4be8-8355-5221feabaf85"/> </result> <result> <reference value="urn:uuid:54207ad3-b925-474a-b5fe-29b7e51310dd"/> </result> <result> <reference value="urn:uuid:dc5070c5-e611-458d-af0d-f1580b4164ac"/> </result> <result> <reference value="urn:uuid:44b98cd8-4ff4-417c-8e37-a73108f13890"/> </result> <result> <reference value="urn:uuid:e9b6960d-ae11-4a01-97ea-8ce02185af98"/> </result> <result> <reference value="urn:uuid:11ce2fa1-29b6-4821-b93b-2b427e563ebb"/> </result> <result> <reference value="urn:uuid:0539bb48-4d35-4846-9c37-859bd9b62d47"/> </result> <result> <reference value="urn:uuid:f62b2cb2-b84f-44f0-ac33-ca23326310fa"/> </result> <result> <reference value="urn:uuid:84db76ec-c0ad-4a16-9b33-4df2b4a5da26"/> </result> <result> <reference value="urn:uuid:e74cf528-c56a-4795-acbe-d3c5bcf26f87"/> </result> <result> <reference value="urn:uuid:36d8d519-ff0f-4734-be3c-58947c9660bc"/> </result> <result> <reference value="urn:uuid:87cf0307-54f5-42e9-9aa9-e96a3cbb62a2"/> </result> <result> <reference value="urn:uuid:d20a91c2-ce1d-49f1-bbc8-ec53a2619016"/> </result> <result> <reference value="urn:uuid:608f217b-c90f-4344-9331-9589d96d8130"/> </result> <result> <reference value="urn:uuid:89d2d461-45bc-41aa-af41-7936f3c50fda"/> </result> <result> <reference value="urn:uuid:d9ac0d19-c998-468f-a048-cec91db361a2"/> </result> <result> <reference value="urn:uuid:0ebb01c9-e087-4184-82aa-c2c754fcdb87"/> </result> <result> <reference value="urn:uuid:5adbfb21-b376-4822-8e5a-0836a21ddc7d"/> </result> <result> <reference value="urn:uuid:1aa385d8-fa57-4ddd-925c-873daaa14016"/> </result> <result> <reference value="urn:uuid:41c5e41c-2876-4f51-876b-7832e15d3021"/> </result> <result> <reference value="urn:uuid:b9ffe824-4957-4fb3-bcfd-6faf9926c76f"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <resource> <Patient> <id value="7009a1ea-1710-4a8b-adde-4a069a310686"/> <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>Ahmed Wirth</td> <td>male</td> <td>02-Oct-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="DE"/> </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="5523-465959-1"/> </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="c594c462-da31-9fab-0316-acdd66d1c0d5"/> </identifier> <name> <text value="Ahmed Wirth"/> <family value="Wirth"/> <given value="Ahmed"/> </name> <telecom> <system value="phone"/> <value value="06478333493"/> </telecom> <gender value="male"/> <birthDate value="1948-10-02"/> <address> <use value="home"/> <type value="physical"/> <line value="Faruk-Zobel-Weg 7090"/> <city value="Kronach"/> <postalCode value="96317"/> <country value="Germany"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:b13e8d27-d7cb-47b0-9394-6d2dec4e3e2a"/> <resource> <ServiceRequest> <id value="b13e8d27-d7cb-47b0-9394-6d2dec4e3e2a"/> <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="09a0cd69-eb3f-45b6-9dee-1d07bcbb3f81"/> </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:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <requester> <reference value="urn:uuid:cdd4f103-30a4-43e0-891d-0fbede885839"/> </requester> <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="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="55822004"/> <display value="Hyperlipidemia"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="40055000"/> <display value="Chronic sinusitis"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="414545008"/> <display value="Ischemic heart disease"/> </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="271737000"/> <display value="Anemia"/> </coding> </reasonCode> <specimen> <reference value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/> </specimen> <specimen> <reference value="urn:uuid:80e5dc02-34bc-488c-afca-ba1df70ba648"/> </specimen> <specimen> <reference value="urn:uuid:c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/> </specimen> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:cdd4f103-30a4-43e0-891d-0fbede885839"/> <resource> <PractitionerRole> <id value="cdd4f103-30a4-43e0-891d-0fbede885839"/> <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: cdd4f103-30a4-43e0-891d-0fbede885839</div> </text> <organization> <reference value="urn:uuid:92702fb1-b612-46fa-be1e-8fcc67b408fe"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:92702fb1-b612-46fa-be1e-8fcc67b408fe"/> <resource> <Organization> <id value="92702fb1-b612-46fa-be1e-8fcc67b408fe"/> <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: Medizinisches Versorgungszentrum Kronach</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="9403151c-c1d2-4b43-b05b-0d58760693c0"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Medizinisches Versorgungszentrum Kronach"/> <address> <line value="Friesener Straße 41"/> <city value="Kronach"/> <postalCode value="96317"/> <country value="Germany"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/> <resource> <Specimen> <id value="e37e3635-bee7-4a19-9d7e-7ef017e065ee"/> <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>Acellular blood (serum or plasma) specimen</td> <td> <span class="nb">17-May-2025</span> </td> </tr> </table> </div> </text> <type> <coding> <system value="http://snomed.info/sct"/> <code value="122592007"/> <display value="Acellular blood (serum or plasma) specimen"/> </coding> </type> <collection> <collectedDateTime value="2025-05-17"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:80e5dc02-34bc-488c-afca-ba1df70ba648"/> <resource> <Specimen> <id value="80e5dc02-34bc-488c-afca-ba1df70ba648"/> <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>Urine specimen</td> <td> <span class="nb">17-May-2025</span> </td> </tr> </table> </div> </text> <type> <coding> <system value="http://snomed.info/sct"/> <code value="122575003"/> <display value="Urine specimen"/> </coding> </type> <collection> <collectedDateTime value="2025-05-17"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/> <resource> <Specimen> <id value="c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/> <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">17-May-2025</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="2025-05-17"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:14dc5264-3d97-4fd0-a9f4-276416878285"/> <resource> <Observation> <id value="14dc5264-3d97-4fd0-a9f4-276416878285"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Glucose [Mass/volume] in Serum or Plasma</td> <td>87.1</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="2345-7"/> <display value="Glucose [Mass/volume] in Serum or Plasma"/> </coding> <text value="Glucose [Mass/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="87.1"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/> </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:4aa19e7d-7687-4bcd-9ca3-5a73cfabe061"/> <resource> <Observation> <id value="4aa19e7d-7687-4bcd-9ca3-5a73cfabe061"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td> <td>11.1</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="3094-0"/> <display value="Urea nitrogen [Mass/volume] in Serum or Plasma"/> </coding> <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="11.1"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/> </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:8f5951bd-d874-4b4a-bbae-c7100e11e11e"/> <resource> <Observation> <id value="8f5951bd-d874-4b4a-bbae-c7100e11e11e"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Creatinine [Mass/volume] in Serum or Plasma</td> <td>2.1</td> <td>0.6 - 1.3</td> <td>H</td> <td>mg/dL</td> </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="2160-0"/> <display value="Creatinine [Mass/volume] in Serum or Plasma"/> </coding> <text value="Creatinine [Mass/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="2.1"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </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:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/> </specimen> <referenceRange> <low> <value value="0.6"/> <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:c760dcf5-742a-4d6e-ad9a-3356197ad7bd"/> <resource> <Observation> <id value="c760dcf5-742a-4d6e-ad9a-3356197ad7bd"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Calcium [Mass/volume] in Serum or Plasma</td> <td>8.5</td> <td>8.6 - 10.3</td> <td>L</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="17861-6"/> <display value="Calcium [Mass/volume] in Serum or Plasma"/> </coding> <text value="Calcium [Mass/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="8.5"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="L"/> <display value="Low"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/> </specimen> <referenceRange> <low> <value value="8.6"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="10.3"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:63d5b0de-2e2f-4f51-bed5-bb71aca62f03"/> <resource> <Observation> <id value="63d5b0de-2e2f-4f51-bed5-bb71aca62f03"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Sodium [Moles/volume] in Serum or Plasma</td> <td>138.9</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="2951-2"/> <display value="Sodium [Moles/volume] in Serum or Plasma"/> </coding> <text value="Sodium [Moles/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="138.9"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/> </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:213d9ca3-6bd6-4f81-9ee3-29acf2a0adb3"/> <resource> <Observation> <id value="213d9ca3-6bd6-4f81-9ee3-29acf2a0adb3"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Potassium [Moles/volume] in Serum or Plasma</td> <td>3.9</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="2823-3"/> <display value="Potassium [Moles/volume] in Serum or Plasma"/> </coding> <text value="Potassium [Moles/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="3.9"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/> </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:66b40adf-5d68-485a-8121-a8cb3cdcdfab"/> <resource> <Observation> <id value="66b40adf-5d68-485a-8121-a8cb3cdcdfab"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Chloride [Moles/volume] in Serum or Plasma</td> <td>110.6</td> <td>98 - 107</td> <td>H</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="2075-0"/> <display value="Chloride [Moles/volume] in Serum or Plasma"/> </coding> <text value="Chloride [Moles/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="110.6"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </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:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/> </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:4d55ccaa-f3bc-4ff5-831d-7b1794d7d79c"/> <resource> <Observation> <id value="4d55ccaa-f3bc-4ff5-831d-7b1794d7d79c"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td> <td>25.7</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="2028-9"/> <display value="Carbon dioxide, total [Moles/volume] in Serum or Plasma"/> </coding> <text value="Carbon dioxide, total [Moles/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="25.7"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/> </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:11aba32e-92e8-44d1-982a-ce3356c87085"/> <resource> <Observation> <id value="11aba32e-92e8-44d1-982a-ce3356c87085"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Appearance of Urine</td> <td>Cloudy urine</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="5767-9"/> <display value="Appearance of Urine"/> </coding> <text value="Appearance of Urine"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueCodeableConcept> <coding> <system 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in Urine by Test strip</td> <td>0.8</td> <td>0 - 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="5792-7"/> <display value="Glucose [Mass/volume] in Urine by Test strip"/> </coding> <text value="Glucose [Mass/volume] in Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="0.8"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:80e5dc02-34bc-488c-afca-ba1df70ba648"/> </specimen> <referenceRange> <low> <value 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</meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Bilirubin.total [Mass/volume] in Urine by Test strip</td> <td>0.3</td> <td>0 - 4</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="20505-4"/> <display value="Bilirubin.total [Mass/volume] in Urine by Test strip"/> </coding> <text value="Bilirubin.total [Mass/volume] in Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> 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</specimen> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:44b98cd8-4ff4-417c-8e37-a73108f13890"/> <resource> <Observation> <id value="44b98cd8-4ff4-417c-8e37-a73108f13890"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Ketones [Mass/volume] in Urine by Test strip</td> <td>12.6</td> <td>0 - 4</td> <td>H</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="5797-6"/> <display value="Ketones [Mass/volume] in Urine by Test strip"/> </coding> <text value="Ketones 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value="urn:uuid:e9b6960d-ae11-4a01-97ea-8ce02185af98"/> <resource> <Observation> <id value="e9b6960d-ae11-4a01-97ea-8ce02185af98"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Ketones [Presence] in Urine by Test strip</td> <td>Urine ketone test = +</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="2514-8"/> <display value="Ketones [Presence] in Urine by Test strip"/> </coding> <text value="Ketones [Presence] in Urine by Test strip"/> </code> <subject> <reference 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gravity of Urine by Test strip</td> <td>1.0</td> <td>1.005 - 1.030</td> <td>L</td> <td>{nominal}</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="5811-5"/> <display value="Specific gravity of Urine by Test strip"/> </coding> <text value="Specific gravity of Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="1"/> <unit value="{nominal}"/> <system value="http://unitsofmeasure.org"/> <code value="1"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 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<td>6.2</td> <td>5.0 - 8.0</td> <td/> <td>pH</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="5803-2"/> <display value="pH of Urine by Test strip"/> </coding> <text value="pH of Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="6.2"/> <unit value="pH"/> <system value="http://unitsofmeasure.org"/> <code value="pH"/> </valueQuantity> <specimen> <reference value="urn:uuid:80e5dc02-34bc-488c-afca-ba1df70ba648"/> </specimen> <referenceRange> <low> <value value="5"/> <system value="http://unitsofmeasure.org"/> <code value="pH"/> 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value="Protein [Presence] in Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="167276005"/> <display value="Urine protein test = ++"/> </coding> </valueCodeableConcept> <specimen> <reference value="urn:uuid:80e5dc02-34bc-488c-afca-ba1df70ba648"/> </specimen> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:e74cf528-c56a-4795-acbe-d3c5bcf26f87"/> <resource> <Observation> <id value="e74cf528-c56a-4795-acbe-d3c5bcf26f87"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Nitrite [Presence] in Urine by Test strip</td> <td>Urine nitrite negative</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="5802-4"/> <display value="Nitrite [Presence] in Urine by Test strip"/> </coding> <text value="Nitrite [Presence] in Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="314138001"/> <display value="Urine nitrite negative"/> </coding> </valueCodeableConcept> <specimen> <reference value="urn:uuid:80e5dc02-34bc-488c-afca-ba1df70ba648"/> </specimen> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:36d8d519-ff0f-4734-be3c-58947c9660bc"/> <resource> <Observation> <id value="36d8d519-ff0f-4734-be3c-58947c9660bc"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hemoglobin [Presence] in Urine by Test strip</td> <td>Urine blood test = negative</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="5794-3"/> <display value="Hemoglobin [Presence] in Urine by Test strip"/> </coding> <text value="Hemoglobin [Presence] in Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="167297006"/> <display value="Urine blood test = negative"/> </coding> </valueCodeableConcept> <specimen> <reference value="urn:uuid:80e5dc02-34bc-488c-afca-ba1df70ba648"/> </specimen> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:87cf0307-54f5-42e9-9aa9-e96a3cbb62a2"/> <resource> <Observation> <id value="87cf0307-54f5-42e9-9aa9-e96a3cbb62a2"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Leukocyte esterase [Presence] in Urine by Test strip</td> <td>Urine leukocyte test negative</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="5799-2"/> <display value="Leukocyte esterase [Presence] in Urine by Test strip"/> </coding> <text value="Leukocyte esterase [Presence] in Urine by Test strip"/> </code> <subject> <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="394717006"/> <display value="Urine leukocyte test negative"/> </coding> </valueCodeableConcept> <specimen> <reference value="urn:uuid:80e5dc02-34bc-488c-afca-ba1df70ba648"/> </specimen> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:d20a91c2-ce1d-49f1-bbc8-ec53a2619016"/> <resource> <Observation> <id value="d20a91c2-ce1d-49f1-bbc8-ec53a2619016"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td>3.4</td> <td>4.8 - 5.9</td> <td>L</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:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="3.4"/> <unit value="%"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="L"/> <display value="Low"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/> </specimen> <referenceRange> <low> <value value="4.8"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </low> <high> <value value="5.9"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:608f217b-c90f-4344-9331-9589d96d8130"/> <resource> <Observation> <id value="608f217b-c90f-4344-9331-9589d96d8130"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>87.1</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:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="87.1"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/> </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:89d2d461-45bc-41aa-af41-7936f3c50fda"/> <resource> <Observation> <id value="89d2d461-45bc-41aa-af41-7936f3c50fda"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>11.1</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:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="11.1"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/> </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:d9ac0d19-c998-468f-a048-cec91db361a2"/> <resource> <Observation> <id value="d9ac0d19-c998-468f-a048-cec91db361a2"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td>2.5</td> <td>0.6 - 1.3</td> <td>H</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:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="2.5"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </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:c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/> </specimen> <referenceRange> <low> <value value="0.6"/> <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:0ebb01c9-e087-4184-82aa-c2c754fcdb87"/> <resource> <Observation> <id value="0ebb01c9-e087-4184-82aa-c2c754fcdb87"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>8.5</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:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="8.5"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/> </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:5adbfb21-b376-4822-8e5a-0836a21ddc7d"/> <resource> <Observation> <id value="5adbfb21-b376-4822-8e5a-0836a21ddc7d"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>138.9</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:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="138.9"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/> </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:1aa385d8-fa57-4ddd-925c-873daaa14016"/> <resource> <Observation> <id value="1aa385d8-fa57-4ddd-925c-873daaa14016"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>3.9</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:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="3.9"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/> </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:41c5e41c-2876-4f51-876b-7832e15d3021"/> <resource> <Observation> <id value="41c5e41c-2876-4f51-876b-7832e15d3021"/> <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>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td>110.6</td> <td>98 - 110</td> <td>H</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:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="110.6"/> <unit value="mmol/L"/> <system 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<tr> <th>Test</th> <th>18-May-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>25.7</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:7009a1ea-1710-4a8b-adde-4a069a310686"/> <display value="Ahmed Wirth"/> </subject> <effectiveDateTime value="2025-05-17T23:37:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="25.7"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/> </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:d49ee371-229f-4bb0-8b92-89bf6dc04492"/> <resource> <Device> <id value="d49ee371-229f-4bb0-8b92-89bf6dc04492"/> <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:3c4e2c38-cc04-4339-bea5-7c8638563e24"/> <resource> <Provenance> <id value="3c4e2c38-cc04-4339-bea5-7c8638563e24"/> <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:7009a1ea-1710-4a8b-adde-4a069a310686"/> </target> <target> <reference value="urn:uuid:73342c40-bfd5-4cb0-8663-4820062b99df"/> </target> <target> <reference value="urn:uuid:5b72c298-1895-48de-82d6-59031afb6bba"/> </target> <target> <reference value="urn:uuid:69f02f96-b409-4e8b-a964-c2d97da3db32"/> </target> <target> <reference value="urn:uuid:cdd4f103-30a4-43e0-891d-0fbede885839"/> </target> <target> <reference value="urn:uuid:92702fb1-b612-46fa-be1e-8fcc67b408fe"/> </target> <recorded value="2025-05-18T01:37:39Z"/> <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:d49ee371-229f-4bb0-8b92-89bf6dc04492"/> </who> </agent> </Provenance> </resource> </entry> <entry> <fullUrl value="urn:uuid:5b72c298-1895-48de-82d6-59031afb6bba"/> <resource> <PractitionerRole> <id value="5b72c298-1895-48de-82d6-59031afb6bba"/> <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: 5b72c298-1895-48de-82d6-59031afb6bba</div> </text> <practitioner> <reference value="urn:uuid:69f02f96-b409-4e8b-a964-c2d97da3db32"/> </practitioner> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:69f02f96-b409-4e8b-a964-c2d97da3db32"/> <resource> <Practitioner> <id value="69f02f96-b409-4e8b-a964-c2d97da3db32"/> <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="35d9a83e-a507-48cf-a583-17eb9f9fcf4c"/> <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>18-MAY-2025</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>87.1</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>11.1</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.1 H</strong>
                                 </td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>8.5 L</strong>
                                 </td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>138.9</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>3.9</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>110.6 H</strong>
                                 </td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>25.7</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test = +</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>3.4 L</strong>
                                 </td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>87.1</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>11.1</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>2.5 H</strong>
                                 </td>
                                 <td>0.6 - 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>3.9</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>110.6 H</strong>
                                 </td>
                                 <td>98 - 110</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>25.7</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
                  <entry>
                     <reference value="urn:uuid:14dc5264-3d97-4fd0-a9f4-276416878285"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:4aa19e7d-7687-4bcd-9ca3-5a73cfabe061"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:8f5951bd-d874-4b4a-bbae-c7100e11e11e"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:c760dcf5-742a-4d6e-ad9a-3356197ad7bd"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:63d5b0de-2e2f-4f51-bed5-bb71aca62f03"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:213d9ca3-6bd6-4f81-9ee3-29acf2a0adb3"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:66b40adf-5d68-485a-8121-a8cb3cdcdfab"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:4d55ccaa-f3bc-4ff5-831d-7b1794d7d79c"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:e9b6960d-ae11-4a01-97ea-8ce02185af98"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:d20a91c2-ce1d-49f1-bbc8-ec53a2619016"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:608f217b-c90f-4344-9331-9589d96d8130"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:89d2d461-45bc-41aa-af41-7936f3c50fda"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:d9ac0d19-c998-468f-a048-cec91db361a2"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:0ebb01c9-e087-4184-82aa-c2c754fcdb87"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:5adbfb21-b376-4822-8e5a-0836a21ddc7d"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:1aa385d8-fa57-4ddd-925c-873daaa14016"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:41c5e41c-2876-4f51-876b-7832e15d3021"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:b9ffe824-4957-4fb3-bcfd-6faf9926c76f"/>
                  </entry>
               </section>
               <section>
                  <title value="Urinalysis"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18729-4"/>
                        <display value="Urinalysis studies (set)"/>
                     </coding>
                     <text value="Urinalysis"/>
                  </code>
                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Urinalysis</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>18-MAY-2025</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>0.8</td>
                                 <td>0 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Presence] in Urine by Test strip</td>
                                 <td>Urine glucose test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Urine by Test strip</td>
                                 <td>0.3</td>
                                 <td>0 - 4</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Presence] in Urine by Test strip</td>
                                 <td>Finding of bilirubin in urine</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Ketones [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>12.6 H</strong>
                                 </td>
                                 <td>0 - 4</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Specific gravity of Urine by Test strip</td>
                                 <td>
                                    <strong>1.0 L</strong>
                                 </td>
                                 <td>1.005 - 1.030</td>
                                 <td>{nominal}</td>
                              </tr>
                              <tr>
                                 <td>pH of Urine by Test strip</td>
                                 <td>6.2</td>
                                 <td>5.0 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>198.7 H</strong>
                                 </td>
                                 <td>0 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Protein [Presence] in Urine by Test strip</td>
                                 <td>Urine protein test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Nitrite [Presence] in Urine by Test strip</td>
                                 <td>Urine nitrite negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Presence] in Urine by Test strip</td>
                                 <td>Urine blood test = negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
                                 <td>Urine leukocyte test negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
                  <entry>
                     <reference value="urn:uuid:af359c3b-2316-48aa-9fd4-1e9b5314ee7e"/>
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                  <entry>
                     <reference value="urn:uuid:1c96f435-3ac0-4be8-8355-5221feabaf85"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:54207ad3-b925-474a-b5fe-29b7e51310dd"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:dc5070c5-e611-458d-af0d-f1580b4164ac"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:44b98cd8-4ff4-417c-8e37-a73108f13890"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:11ce2fa1-29b6-4821-b93b-2b427e563ebb"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:0539bb48-4d35-4846-9c37-859bd9b62d47"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:f62b2cb2-b84f-44f0-ac33-ca23326310fa"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:84db76ec-c0ad-4a16-9b33-4df2b4a5da26"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:e74cf528-c56a-4795-acbe-d3c5bcf26f87"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:36d8d519-ff0f-4734-be3c-58947c9660bc"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:87cf0307-54f5-42e9-9aa9-e96a3cbb62a2"/>
                  </entry>
               </section>
               <section>
                  <title value="Specimen information"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="LP7846-1"/>
                        <display value="Specimen information"/>
                     </coding>
                     <text value="Specimen information"/>
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                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Specimen information</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>18-MAY-2025</th>
                                 <th>Specimen</th>
                                 <th/>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Appearance of Urine</td>
                                 <td>Cloudy urine</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Odor of Urine</td>
                                 <td>Urine smell ammoniacal</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Clarity of Urine</td>
                                 <td>Translucent</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Color of Urine</td>
                                 <td>Brown color</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
                  <entry>
                     <reference value="urn:uuid:11aba32e-92e8-44d1-982a-ce3356c87085"/>
                  </entry>
                  <entry>
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                  </entry>
                  <entry>
                     <reference value="urn:uuid:7b42ad1f-b834-4192-8515-772696a764b5"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:069a4135-7e69-4edc-b92e-be07e28f274f"/>
                  </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>
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                  <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 elevated creatinine, proteinuria, and low urine specific gravity, suggesting impaired renal function. Urine is cloudy, brown, and ammoniacal, but without evidence of infection (negative nitrite/leukocytes). There is also hypocalcemia, hyperchloremia, and elevated urinary ketones. HbA1c is unexpectedly low. Findings are consistent with chronic kidney disease, possibly with acute component; further nephrological evaluation is recommended.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:4ef16fd5-ba5e-4836-912c-00b98113494b"/>
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         <DiagnosticReport>
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            </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>
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               <value value="eacf1059-1982-4760-97c4-0fd263fd9549"/>
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            </identifier>
            <identifier>
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               <assigner>
                  <display value="HL7 Europe"/>
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            <status value="registered"/>
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            <subject>
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               <display value="Ahmed Wirth"/>
            </subject>
            <specimen>
               <reference value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/>
            </specimen>
            <specimen>
               <reference value="urn:uuid:80e5dc02-34bc-488c-afca-ba1df70ba648"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
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               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Ahmed Wirth</td>
                        <td>male</td>
                        <td>02-Oct-1948</td>
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            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
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                        <system value="urn:iso:std:iso:3166"/>
                        <code value="DE"/>
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                  </valueCodeableConcept>
               </extension>
            </extension>
            <identifier>
               <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="5523-465959-1"/>
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            <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="c594c462-da31-9fab-0316-acdd66d1c0d5"/>
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            <name>
               <text value="Ahmed Wirth"/>
               <family value="Wirth"/>
               <given value="Ahmed"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="06478333493"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1948-10-02"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Faruk-Zobel-Weg 7090"/>
               <city value="Kronach"/>
               <postalCode value="96317"/>
               <country value="Germany"/>
            </address>
         </Patient>
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               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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            <identifier>
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               <value value="09a0cd69-eb3f-45b6-9dee-1d07bcbb3f81"/>
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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"/>
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            </code>
            <subject>
               <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/>
               <display value="Ahmed Wirth"/>
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            <requester>
               <reference value="urn:uuid:cdd4f103-30a4-43e0-891d-0fbede885839"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="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="55822004"/>
                  <display value="Hyperlipidemia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
               </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="271737000"/>
                  <display value="Anemia"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/>
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            <specimen>
               <reference value="urn:uuid:c7589ae0-3f0d-4def-a4c1-b31d8d1be9bb"/>
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            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: cdd4f103-30a4-43e0-891d-0fbede885839</div>
            </text>
            <organization>
               <reference value="urn:uuid:92702fb1-b612-46fa-be1e-8fcc67b408fe"/>
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         </PractitionerRole>
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   <entry>
      <fullUrl value="urn:uuid:92702fb1-b612-46fa-be1e-8fcc67b408fe"/>
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         <Organization>
            <id value="92702fb1-b612-46fa-be1e-8fcc67b408fe"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Medizinisches Versorgungszentrum Kronach</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="9403151c-c1d2-4b43-b05b-0d58760693c0"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Medizinisches Versorgungszentrum Kronach"/>
            <address>
               <line value="Friesener Straße 41"/>
               <city value="Kronach"/>
               <postalCode value="96317"/>
               <country value="Germany"/>
            </address>
         </Organization>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">17-May-2025</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <system value="http://snomed.info/sct"/>
                  <code value="122592007"/>
                  <display value="Acellular blood (serum or plasma) specimen"/>
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            <collection>
               <collectedDateTime value="2025-05-17"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Urine specimen</td>
                        <td>
                           <span class="nb">17-May-2025</span>
                        </td>
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                  </table>
               </div>
            </text>
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                  <system value="http://snomed.info/sct"/>
                  <code value="122575003"/>
                  <display value="Urine specimen"/>
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               <collectedDateTime value="2025-05-17"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
                        <th>Collection Date</th>
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                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">17-May-2025</span>
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               </div>
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                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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               <collectedDateTime value="2025-05-17"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Test</th>
                        <th>18-May-2025</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
                        <td>87.1</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
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            <status value="final"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2345-7"/>
                  <display value="Glucose [Mass/volume] in Serum or Plasma"/>
               </coding>
               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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            <subject>
               <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/>
               <display value="Ahmed Wirth"/>
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            <effectiveDateTime value="2025-05-17T23:37:39Z"/>
            <performer>
               <display value="The Central European Lab"/>
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               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
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            <specimen>
               <reference value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/>
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                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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               <high>
                  <value value="100"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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                        <th>18-May-2025</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                        <td>11.1</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="3094-0"/>
                  <display value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
               </coding>
               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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            <subject>
               <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/>
               <display value="Ahmed Wirth"/>
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            <effectiveDateTime value="2025-05-17T23:37:39Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="11.1"/>
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               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
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            <specimen>
               <reference value="urn:uuid:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/>
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            <referenceRange>
               <low>
                  <value value="7"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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               <high>
                  <value value="20"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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   <entry>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>18-May-2025</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                        <td>2.1</td>
                        <td>0.6 - 1.3</td>
                        <td>H</td>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2160-0"/>
                  <display value="Creatinine [Mass/volume] in Serum or Plasma"/>
               </coding>
               <text value="Creatinine [Mass/volume] in Serum or Plasma"/>
            </code>
            <subject>
               <reference value="urn:uuid:7009a1ea-1710-4a8b-adde-4a069a310686"/>
               <display value="Ahmed Wirth"/>
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            <effectiveDateTime value="2025-05-17T23:37:39Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="2.1"/>
               <unit value="mg/dL"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
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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:e37e3635-bee7-4a19-9d7e-7ef017e065ee"/>
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            <referenceRange>
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