<Bundle xmlns="http://hl7.org/fhir">
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         <display value="HL7 Europe"/>
      </assigner>
   </identifier>
   <type value="document"/>
   <timestamp value="2020-11-27T10:41:28Z"/>
   <entry>
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            <text>
               <status value="empty"/>
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            </text>
            <extension url="http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference">
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            </identifier>
            <status value="final"/>
            <type>
               <coding>
                  <system value="http://loinc.org"/>
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               <text value="Laboratory Report"/>
            </type>
            <category>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
               </coding>
            </category>
            <subject>
               <reference value="urn:uuid:3cc1ff52-8e2d-4444-b55f-a82b500a2dfd"/>
               <display value="Jérôme Pineau"/>
            </subject>
            <date value="2020-11-27T10:41:28Z"/>
            <author>
               <reference value="urn:uuid:ff806f55-61c6-43d7-9254-3a1b743991c9"/>
            </author>
            <title value="Laboratory Report"/>
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="26436-6"/>
                     <display value="Laboratory studies (set)"/>
                  </coding>
                  <text value="Laboratory studies"/>
               </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>27-NOV-2020</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>5.9</td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>84.3</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>15.9</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>1.5 H</strong>
                                 </td>
                                 <td>0.6 - 1.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>8.6</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>141.6</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>5.1 H</strong>
                                 </td>
                                 <td>3.5 - 5.0</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>103.3</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>27.5</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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                     <reference value="urn:uuid:47cb83dd-b947-4704-bdff-ea5050d9bd0c"/>
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                  <entry>
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                  <entry>
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                  </entry>
                  <entry>
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                  </entry>
                  <entry>
                     <reference value="urn:uuid:01a42a75-c6d9-4817-bc5f-cbee6b931072"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:9f2a77b3-6222-4cb4-adde-914a44cb8635"/>
                  </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>Most parameters are within normal limits. Mildly elevated creatinine and potassium may indicate early renal impairment or reduced renal clearance; correlation with clinical context and repeat testing is advised. Glycemic control appears adequate. No acute electrolyte disturbances detected. Recommend monitoring renal function and potassium levels.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
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         <DiagnosticReport>
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               <status value="empty"/>
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            </identifier>
            <status value="registered"/>
            <category>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="11502-2"/>
                  <display value="Laboratory report"/>
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            </code>
            <subject>
               <reference value="urn:uuid:3cc1ff52-8e2d-4444-b55f-a82b500a2dfd"/>
               <display value="Jérôme Pineau"/>
            </subject>
            <specimen>
               <reference value="urn:uuid:89d1d45d-65b7-4565-95e6-1921e6456674"/>
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            <result>
               <reference value="urn:uuid:47cb83dd-b947-4704-bdff-ea5050d9bd0c"/>
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            <result>
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               <reference value="urn:uuid:4b9353b0-63dd-4a82-9d38-e9170b06f3a2"/>
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            <result>
               <reference value="urn:uuid:1a99b384-d1b3-49ea-9100-0d82dc36fd9d"/>
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            <result>
               <reference value="urn:uuid:4f1fafaa-9aa7-4467-86e8-82521d9123ad"/>
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            <result>
               <reference value="urn:uuid:1a6557a7-5461-4970-b07c-8f278c43d8bf"/>
            </result>
            <result>
               <reference value="urn:uuid:96e0c1f7-2de5-4c0c-834d-964ab05400e6"/>
            </result>
            <result>
               <reference value="urn:uuid:01a42a75-c6d9-4817-bc5f-cbee6b931072"/>
            </result>
            <result>
               <reference value="urn:uuid:9f2a77b3-6222-4cb4-adde-914a44cb8635"/>
            </result>
         </DiagnosticReport>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:3cc1ff52-8e2d-4444-b55f-a82b500a2dfd"/>
      <resource>
         <Patient>
            <id value="3cc1ff52-8e2d-4444-b55f-a82b500a2dfd"/>
            <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>Jérôme Pineau</td>
                        <td>male</td>
                        <td>01-May-1973</td>
                     </tr>
                  </table>
               </div>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
                  <valueCodeableConcept>
                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="FR"/>
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                  </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="8628-113344-6"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               </type>
               <system value="http://local.setting.eu/identifier"/>
               <value value="a17a5d21-3f46-a657-da93-ede4008dd4b4"/>
            </identifier>
            <name>
               <text value="Jérôme Pineau"/>
               <family value="Pineau"/>
               <given value="Jérôme"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="02 57 69 07 55"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1973-05-01"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="13, boulevard Margaret Perrin"/>
               <city value="Julien-sur-Denis"/>
               <postalCode value="75001"/>
               <country value="France"/>
            </address>
         </Patient>
      </resource>
   </entry>
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         <ServiceRequest>
            <id value="32376399-8ec4-4ac6-b28f-e8a6eaca2a3f"/>
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            <text>
               <status value="empty"/>
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            <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:3cc1ff52-8e2d-4444-b55f-a82b500a2dfd"/>
               <display value="Jérôme Pineau"/>
            </subject>
            <requester>
               <reference value="urn:uuid:f7587d4b-120c-485a-a0c2-c438fd42a65d"/>
            </requester>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="44054006"/>
                  <display value="Type 2 diabetes mellitus"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:89d1d45d-65b7-4565-95e6-1921e6456674"/>
            </specimen>
         </ServiceRequest>
      </resource>
   </entry>
   <entry>
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         <PractitionerRole>
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            <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: f7587d4b-120c-485a-a0c2-c438fd42a65d</div>
            </text>
            <organization>
               <reference value="urn:uuid:6288f304-a1d5-4615-928e-528619a40a69"/>
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         </PractitionerRole>
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         <Organization>
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            <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: Hôtel-Dieu</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="913eb87f-2878-4e4f-b0f0-7f16a5ca5ed6"/>
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                  <display value="HL7 Europe"/>
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            <name value="Hôtel-Dieu"/>
            <address>
               <city value="Paris"/>
               <postalCode value="75001"/>
               <country value="France"/>
            </address>
         </Organization>
      </resource>
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            <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">27-Nov-2020</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
               </coding>
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            <collection>
               <collectedDateTime value="2020-11-27"/>
            </collection>
         </Specimen>
      </resource>
   </entry>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>27-Nov-2020</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>5.9</td>
                        <td>4.8 - 5.9</td>
                        <td/>
                        <td>%</td>
                     </tr>
                  </table>
               </div>
            </text>
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            <code>
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                  <code value="4548-4"/>
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               <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
            </code>
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               <display value="Jérôme Pineau"/>
            </subject>
            <effectiveDateTime value="2020-11-27T09:41:28Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
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            </valueQuantity>
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            <referenceRange>
               <low>
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               <high>
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                        <th>Test</th>
                        <th>27-Nov-2020</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>84.3</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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            <effectiveDateTime value="2020-11-27T09:41:28Z"/>
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            <valueQuantity>
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               <unit value="mg/dL"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
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                        <th>Test</th>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
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                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>1.5</td>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>8.6</td>
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                        <td>Sodium [Moles/volume] in Blood</td>
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                        <td>Potassium [Moles/volume] in Blood</td>
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                        <td>Chloride [Moles/volume] in Blood</td>
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