<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>10-MAR-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td> <strong>6.4 H</strong> </td> <td>4.0 - 5.6</td> <td>%</td> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>98.6</td> <td>70 - 100</td> <td>mg/dL</td> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>17.5</td> <td>7 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td> <strong>1.4 H</strong> </td> <td>0.6 - 1.3</td> <td>mg/dL</td> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>10.0</td> <td>8.5 - 10.5</td> <td>mg/dL</td> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>139.9</td> <td>135 - 145</td> <td>mmol/L</td> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>3.7</td> <td>3.5 - 5.0</td> <td>mmol/L</td> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td> <strong>107.8 H</strong> </td> <td>98 - 107</td> <td>mmol/L</td> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td> <strong>21.5 L</strong> </td> <td>22 - 29</td> <td>mmol/L</td> </tr> <tr> <td>Cholesterol [Mass/volume] in Serum or Plasma</td> <td>177.5</td> <td>125 - 200</td> <td>mg/dL</td> </tr> <tr> <td>Triglyceride [Mass/volume] in Serum or Plasma</td> <td>145.4</td> <td>0 - 150</td> <td>mg/dL</td> </tr> <tr> <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td> <td>97.4</td> <td>0 - 100</td> <td>mg/dL</td> </tr> <tr> <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td> <td>51.0</td> <td>40 - 60</td> <td>mg/dL</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:0a83e266-dae6-4412-8f81-e83ea68c2ee6"/> </entry> <entry> <reference value="urn:uuid:16026881-6d96-40c6-83d5-b74fb612a7a6"/> </entry> <entry> <reference value="urn:uuid:169cb0a8-bc6a-41e1-bde3-7733de971863"/> </entry> <entry> <reference value="urn:uuid:e37bf683-c85c-4ec1-8501-8150b5b074fe"/> </entry> <entry> <reference value="urn:uuid:c4dec35d-a79a-44ac-9f55-d1f9f2ebb2b6"/> </entry> <entry> <reference value="urn:uuid:40513dee-ce5d-4477-bccc-69e9e68d7817"/> </entry> <entry> <reference value="urn:uuid:4646ae8e-d84d-4d90-b8d5-8971f5cb1fdc"/> </entry> <entry> <reference value="urn:uuid:11421617-b664-4082-9bcd-daa1cd3d8e18"/> </entry> <entry> <reference value="urn:uuid:44a47894-a22d-43ad-a328-6ab1f0fd73fb"/> </entry> <entry> <reference value="urn:uuid:146bff9c-ca3a-46ad-b7bb-55435f69304a"/> </entry> <entry> <reference value="urn:uuid:a8632b29-7392-4365-9a3b-350ff02653f0"/> </entry> <entry> <reference value="urn:uuid:0b920d4e-e040-4cde-9970-4610ed1b0458"/> </entry> <entry> <reference value="urn:uuid:6a4cce00-08f4-4de8-8cb9-ba1c38ee3a6e"/> </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 HbA1c, indicating impaired glucose control (prediabetes/early diabetes). Creatinine is slightly high, suggesting possible mild renal impairment. Chloride is marginally elevated and CO₂ is slightly low, which may reflect mild metabolic acidosis. Lipid profile is within acceptable limits. Recommend further evaluation of glycemic control and renal function, and clinical correlation for acid-base status.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:0c95bb7d-1f5a-4e78-98e1-dcd6594a857b"/> <resource> <DiagnosticReport> <id value="0c95bb7d-1f5a-4e78-98e1-dcd6594a857b"/> <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:a0355621-0f1f-4f00-86e9-d1c534928d08"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="d025fad2-4239-483c-b0fb-a0f5434c4827"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="c9d1211d-a0dd-4610-8dd5-e27b1e3486a1"/> <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:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <specimen> <reference value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/> </specimen> <specimen> <reference value="urn:uuid:1e1adbbf-c3b3-43fd-889a-cd9e5a876421"/> </specimen> <result> <reference value="urn:uuid:0a83e266-dae6-4412-8f81-e83ea68c2ee6"/> </result> <result> <reference value="urn:uuid:16026881-6d96-40c6-83d5-b74fb612a7a6"/> </result> <result> <reference value="urn:uuid:169cb0a8-bc6a-41e1-bde3-7733de971863"/> </result> <result> <reference value="urn:uuid:e37bf683-c85c-4ec1-8501-8150b5b074fe"/> </result> <result> <reference value="urn:uuid:c4dec35d-a79a-44ac-9f55-d1f9f2ebb2b6"/> </result> <result> <reference value="urn:uuid:40513dee-ce5d-4477-bccc-69e9e68d7817"/> </result> <result> <reference value="urn:uuid:4646ae8e-d84d-4d90-b8d5-8971f5cb1fdc"/> </result> <result> <reference value="urn:uuid:11421617-b664-4082-9bcd-daa1cd3d8e18"/> </result> <result> <reference value="urn:uuid:44a47894-a22d-43ad-a328-6ab1f0fd73fb"/> </result> <result> <reference value="urn:uuid:146bff9c-ca3a-46ad-b7bb-55435f69304a"/> </result> <result> <reference value="urn:uuid:a8632b29-7392-4365-9a3b-350ff02653f0"/> </result> <result> <reference value="urn:uuid:0b920d4e-e040-4cde-9970-4610ed1b0458"/> </result> <result> <reference value="urn:uuid:6a4cce00-08f4-4de8-8cb9-ba1c38ee3a6e"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <resource> <Patient> <id value="9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <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>Danny Smith</td> <td>male</td> <td>24-Dec-1982</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="GB"/> </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="7706-924408-3"/> </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="c13f250a-7524-143f-bbe4-57245775ad3e"/> </identifier> <name> <text value="Danny Smith"/> <family value="Smith"/> <given value="Danny"/> </name> <telecom> <system value="phone"/> <value value="+44131 4960107"/> </telecom> <gender value="male"/> <birthDate value="1982-12-24"/> <address> <use value="home"/> <type value="physical"/> <line value="Studio 6"/> <line value="Ford centers"/> <city value="London"/> <postalCode value="SW1A"/> <country value="United Kingdom"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:55c9cc09-9740-44d6-8e19-f3a86d9ba2e1"/> <resource> <ServiceRequest> <id value="55c9cc09-9740-44d6-8e19-f3a86d9ba2e1"/> <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="3248ac2b-5452-4aa0-9065-6f708e54b391"/> </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:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <requester> <reference value="urn:uuid:afae0d80-f3d0-4462-900b-fd32e1cb69b5"/> </requester> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="271737000"/> <display value="Anemia"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="78275009"/> <display value="Obstructive sleep apnea syndrome"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="39898005"/> <display value="Sleep disorder"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="40055000"/> <display value="Chronic sinusitis"/> </coding> </reasonCode> <specimen> <reference value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/> </specimen> <specimen> <reference value="urn:uuid:1e1adbbf-c3b3-43fd-889a-cd9e5a876421"/> </specimen> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:afae0d80-f3d0-4462-900b-fd32e1cb69b5"/> <resource> <PractitionerRole> <id value="afae0d80-f3d0-4462-900b-fd32e1cb69b5"/> <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: afae0d80-f3d0-4462-900b-fd32e1cb69b5</div> </text> <organization> <reference value="urn:uuid:3ba1df44-17d5-400b-a7d3-799ed24b999d"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:3ba1df44-17d5-400b-a7d3-799ed24b999d"/> <resource> <Organization> <id value="3ba1df44-17d5-400b-a7d3-799ed24b999d"/> <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: Evelina Children's Hospital</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="ff95ca6f-cd20-4bff-887d-6f221b804ee3"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Evelina Children's Hospital"/> <address> <city value="London"/> <postalCode value="SE1 7"/> <country value="United Kingdom"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/> <resource> <Specimen> <id value="78cdf0f3-a5de-4420-8cef-b6bafe810611"/> <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">10-Mar-2018</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="2018-03-10"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:1e1adbbf-c3b3-43fd-889a-cd9e5a876421"/> <resource> <Specimen> <id value="1e1adbbf-c3b3-43fd-889a-cd9e5a876421"/> <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">10-Mar-2018</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="2018-03-10"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:0a83e266-dae6-4412-8f81-e83ea68c2ee6"/> <resource> <Observation> <id value="0a83e266-dae6-4412-8f81-e83ea68c2ee6"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td>6.4</td> <td>4.0 - 5.6</td> <td>H</td> <td>%</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="4548-4"/> <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/> </coding> <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/> </code> <subject> <reference value="urn:uuid:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="6.4"/> <unit value="%"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="H"/> <display value="High"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/> </specimen> <referenceRange> <low> <value value="4"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </low> <high> <value value="5.6"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:16026881-6d96-40c6-83d5-b74fb612a7a6"/> <resource> <Observation> <id value="16026881-6d96-40c6-83d5-b74fb612a7a6"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>98.6</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:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="98.6"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/> </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:169cb0a8-bc6a-41e1-bde3-7733de971863"/> <resource> <Observation> <id value="169cb0a8-bc6a-41e1-bde3-7733de971863"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>17.5</td> <td>7 - 20</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="6299-2"/> <display value="Urea nitrogen [Mass/volume] in Blood"/> </coding> <text value="Urea nitrogen [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="17.5"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/> </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:e37bf683-c85c-4ec1-8501-8150b5b074fe"/> <resource> <Observation> <id value="e37bf683-c85c-4ec1-8501-8150b5b074fe"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td>1.4</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:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="1.4"/> <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:78cdf0f3-a5de-4420-8cef-b6bafe810611"/> </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:c4dec35d-a79a-44ac-9f55-d1f9f2ebb2b6"/> <resource> <Observation> <id value="c4dec35d-a79a-44ac-9f55-d1f9f2ebb2b6"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>10.0</td> <td>8.5 - 10.5</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="49765-1"/> <display value="Calcium [Mass/volume] in Blood"/> </coding> <text value="Calcium [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="10"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/> </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:40513dee-ce5d-4477-bccc-69e9e68d7817"/> <resource> <Observation> <id value="40513dee-ce5d-4477-bccc-69e9e68d7817"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>139.9</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:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="139.9"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/> </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:4646ae8e-d84d-4d90-b8d5-8971f5cb1fdc"/> <resource> <Observation> <id value="4646ae8e-d84d-4d90-b8d5-8971f5cb1fdc"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>3.7</td> <td>3.5 - 5.0</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:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="3.7"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/> </specimen> <referenceRange> <low> <value value="3.5"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="5"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:11421617-b664-4082-9bcd-daa1cd3d8e18"/> <resource> <Observation> <id value="11421617-b664-4082-9bcd-daa1cd3d8e18"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td>107.8</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="2069-3"/> <display value="Chloride [Moles/volume] in Blood"/> </coding> <text value="Chloride [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="107.8"/> <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:78cdf0f3-a5de-4420-8cef-b6bafe810611"/> </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:44a47894-a22d-43ad-a328-6ab1f0fd73fb"/> <resource> <Observation> <id value="44a47894-a22d-43ad-a328-6ab1f0fd73fb"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>21.5</td> <td>22 - 29</td> <td>L</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:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="21.5"/> <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="L"/> <display value="Low"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/> </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:146bff9c-ca3a-46ad-b7bb-55435f69304a"/> <resource> <Observation> <id value="146bff9c-ca3a-46ad-b7bb-55435f69304a"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Cholesterol [Mass/volume] in Serum or Plasma</td> <td>177.5</td> <td>125 - 200</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="2093-3"/> <display value="Cholesterol [Mass/volume] in Serum or Plasma"/> </coding> <text value="Cholesterol [Mass/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="177.5"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:1e1adbbf-c3b3-43fd-889a-cd9e5a876421"/> </specimen> <referenceRange> <low> <value value="125"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="200"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a8632b29-7392-4365-9a3b-350ff02653f0"/> <resource> <Observation> <id value="a8632b29-7392-4365-9a3b-350ff02653f0"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Triglyceride [Mass/volume] in Serum or Plasma</td> <td>145.4</td> <td>0 - 150</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="2571-8"/> <display value="Triglyceride [Mass/volume] in Serum or Plasma"/> </coding> <text value="Triglyceride [Mass/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="145.4"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:1e1adbbf-c3b3-43fd-889a-cd9e5a876421"/> </specimen> <referenceRange> <low> <value value="0"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="150"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:0b920d4e-e040-4cde-9970-4610ed1b0458"/> <resource> <Observation> <id value="0b920d4e-e040-4cde-9970-4610ed1b0458"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td> <td>97.4</td> <td>0 - 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="18262-6"/> <display value="Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"/> </coding> <text value="Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay"/> </code> <subject> <reference value="urn:uuid:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="97.4"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:1e1adbbf-c3b3-43fd-889a-cd9e5a876421"/> </specimen> <referenceRange> <low> <value value="0"/> <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:6a4cce00-08f4-4de8-8cb9-ba1c38ee3a6e"/> <resource> <Observation> <id value="6a4cce00-08f4-4de8-8cb9-ba1c38ee3a6e"/> <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>10-Mar-2018</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td> <td>51.0</td> <td>40 - 60</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="2085-9"/> <display value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/> </coding> <text value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> <display value="Danny Smith"/> </subject> <effectiveDateTime value="2018-03-10T17:08:38Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="51"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:1e1adbbf-c3b3-43fd-889a-cd9e5a876421"/> </specimen> <referenceRange> <low> <value value="40"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="60"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:49188be4-97f0-4884-a44f-cec221e10a19"/> <resource> <Device> <id value="49188be4-97f0-4884-a44f-cec221e10a19"/> <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:b4aa5d5f-4613-4283-8ed8-bfea9af40a22"/> <resource> <Provenance> <id value="b4aa5d5f-4613-4283-8ed8-bfea9af40a22"/> <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:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/> </target> <target> <reference value="urn:uuid:a0355621-0f1f-4f00-86e9-d1c534928d08"/> </target> <target> <reference value="urn:uuid:f48efea5-ea80-4869-b487-c46387b730d8"/> </target> <target> <reference value="urn:uuid:d5267c1d-afd0-4bfc-8d04-a383cebe6514"/> </target> <target> <reference value="urn:uuid:afae0d80-f3d0-4462-900b-fd32e1cb69b5"/> </target> <target> <reference value="urn:uuid:3ba1df44-17d5-400b-a7d3-799ed24b999d"/> </target> <recorded value="2018-03-10T18:08:38Z"/> <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:49188be4-97f0-4884-a44f-cec221e10a19"/> </who> </agent> </Provenance> </resource> </entry> <entry> <fullUrl value="urn:uuid:f48efea5-ea80-4869-b487-c46387b730d8"/> <resource> <PractitionerRole> <id value="f48efea5-ea80-4869-b487-c46387b730d8"/> <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: f48efea5-ea80-4869-b487-c46387b730d8</div> </text> <practitioner> <reference value="urn:uuid:d5267c1d-afd0-4bfc-8d04-a383cebe6514"/> </practitioner> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:d5267c1d-afd0-4bfc-8d04-a383cebe6514"/> <resource> <Practitioner> <id value="d5267c1d-afd0-4bfc-8d04-a383cebe6514"/> <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="6bdf56e6-b301-4936-a642-4141f52792b6"/> <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)"/>
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                  <title value="Chemistry"/>
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                        <system value="http://loinc.org"/>
                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
                     </coding>
                     <text value="Chemistry"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>10-MAR-2018</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.4 H</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>98.6</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>17.5</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>1.4 H</strong>
                                 </td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>10.0</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>139.9</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>3.7</td>
                                 <td>3.5 - 5.0</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>107.8 H</strong>
                                 </td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>21.5 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>177.5</td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>145.4</td>
                                 <td>0 - 150</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td>
                                 <td>97.4</td>
                                 <td>0 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td>
                                 <td>51.0</td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
                  <entry>
                     <reference value="urn:uuid:0a83e266-dae6-4412-8f81-e83ea68c2ee6"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:16026881-6d96-40c6-83d5-b74fb612a7a6"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:169cb0a8-bc6a-41e1-bde3-7733de971863"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:e37bf683-c85c-4ec1-8501-8150b5b074fe"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:c4dec35d-a79a-44ac-9f55-d1f9f2ebb2b6"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:40513dee-ce5d-4477-bccc-69e9e68d7817"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:4646ae8e-d84d-4d90-b8d5-8971f5cb1fdc"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:11421617-b664-4082-9bcd-daa1cd3d8e18"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:44a47894-a22d-43ad-a328-6ab1f0fd73fb"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:146bff9c-ca3a-46ad-b7bb-55435f69304a"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:a8632b29-7392-4365-9a3b-350ff02653f0"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:0b920d4e-e040-4cde-9970-4610ed1b0458"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:6a4cce00-08f4-4de8-8cb9-ba1c38ee3a6e"/>
                  </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 HbA1c, indicating impaired glucose control (prediabetes/early diabetes). Creatinine is slightly high, suggesting possible mild renal impairment. Chloride is marginally elevated and CO₂ is slightly low, which may reflect mild metabolic acidosis. Lipid profile is within acceptable limits. Recommend further evaluation of glycemic control and renal function, and clinical correlation for acid-base status.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:0c95bb7d-1f5a-4e78-98e1-dcd6594a857b"/>
      <resource>
         <DiagnosticReport>
            <id value="0c95bb7d-1f5a-4e78-98e1-dcd6594a857b"/>
            <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:a0355621-0f1f-4f00-86e9-d1c534928d08"/>
               </valueReference>
            </extension>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="d025fad2-4239-483c-b0fb-a0f5434c4827"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="c9d1211d-a0dd-4610-8dd5-e27b1e3486a1"/>
               <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:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/>
               <display value="Danny Smith"/>
            </subject>
            <specimen>
               <reference value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/>
            </specimen>
            <specimen>
               <reference value="urn:uuid:1e1adbbf-c3b3-43fd-889a-cd9e5a876421"/>
            </specimen>
            <result>
               <reference value="urn:uuid:0a83e266-dae6-4412-8f81-e83ea68c2ee6"/>
            </result>
            <result>
               <reference value="urn:uuid:16026881-6d96-40c6-83d5-b74fb612a7a6"/>
            </result>
            <result>
               <reference value="urn:uuid:169cb0a8-bc6a-41e1-bde3-7733de971863"/>
            </result>
            <result>
               <reference value="urn:uuid:e37bf683-c85c-4ec1-8501-8150b5b074fe"/>
            </result>
            <result>
               <reference value="urn:uuid:c4dec35d-a79a-44ac-9f55-d1f9f2ebb2b6"/>
            </result>
            <result>
               <reference value="urn:uuid:40513dee-ce5d-4477-bccc-69e9e68d7817"/>
            </result>
            <result>
               <reference value="urn:uuid:4646ae8e-d84d-4d90-b8d5-8971f5cb1fdc"/>
            </result>
            <result>
               <reference value="urn:uuid:11421617-b664-4082-9bcd-daa1cd3d8e18"/>
            </result>
            <result>
               <reference value="urn:uuid:44a47894-a22d-43ad-a328-6ab1f0fd73fb"/>
            </result>
            <result>
               <reference value="urn:uuid:146bff9c-ca3a-46ad-b7bb-55435f69304a"/>
            </result>
            <result>
               <reference value="urn:uuid:a8632b29-7392-4365-9a3b-350ff02653f0"/>
            </result>
            <result>
               <reference value="urn:uuid:0b920d4e-e040-4cde-9970-4610ed1b0458"/>
            </result>
            <result>
               <reference value="urn:uuid:6a4cce00-08f4-4de8-8cb9-ba1c38ee3a6e"/>
            </result>
         </DiagnosticReport>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/>
      <resource>
         <Patient>
            <id value="9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/>
            <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>Danny Smith</td>
                        <td>male</td>
                        <td>24-Dec-1982</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="GB"/>
                     </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="7706-924408-3"/>
            </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="c13f250a-7524-143f-bbe4-57245775ad3e"/>
            </identifier>
            <name>
               <text value="Danny Smith"/>
               <family value="Smith"/>
               <given value="Danny"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+44131 4960107"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1982-12-24"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Studio 6"/>
               <line value="Ford centers"/>
               <city value="London"/>
               <postalCode value="SW1A"/>
               <country value="United Kingdom"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:55c9cc09-9740-44d6-8e19-f3a86d9ba2e1"/>
      <resource>
         <ServiceRequest>
            <id value="55c9cc09-9740-44d6-8e19-f3a86d9ba2e1"/>
            <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="3248ac2b-5452-4aa0-9065-6f708e54b391"/>
            </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:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/>
               <display value="Danny Smith"/>
            </subject>
            <requester>
               <reference value="urn:uuid:afae0d80-f3d0-4462-900b-fd32e1cb69b5"/>
            </requester>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78275009"/>
                  <display value="Obstructive sleep apnea syndrome"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="39898005"/>
                  <display value="Sleep disorder"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/>
            </specimen>
            <specimen>
               <reference value="urn:uuid:1e1adbbf-c3b3-43fd-889a-cd9e5a876421"/>
            </specimen>
         </ServiceRequest>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:afae0d80-f3d0-4462-900b-fd32e1cb69b5"/>
      <resource>
         <PractitionerRole>
            <id value="afae0d80-f3d0-4462-900b-fd32e1cb69b5"/>
            <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: afae0d80-f3d0-4462-900b-fd32e1cb69b5</div>
            </text>
            <organization>
               <reference value="urn:uuid:3ba1df44-17d5-400b-a7d3-799ed24b999d"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:3ba1df44-17d5-400b-a7d3-799ed24b999d"/>
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         <Organization>
            <id value="3ba1df44-17d5-400b-a7d3-799ed24b999d"/>
            <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: Evelina Children's Hospital</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="ff95ca6f-cd20-4bff-887d-6f221b804ee3"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Evelina Children's Hospital"/>
            <address>
               <city value="London"/>
               <postalCode value="SE1 7"/>
               <country value="United Kingdom"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/>
      <resource>
         <Specimen>
            <id value="78cdf0f3-a5de-4420-8cef-b6bafe810611"/>
            <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">10-Mar-2018</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="2018-03-10"/>
            </collection>
         </Specimen>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:1e1adbbf-c3b3-43fd-889a-cd9e5a876421"/>
      <resource>
         <Specimen>
            <id value="1e1adbbf-c3b3-43fd-889a-cd9e5a876421"/>
            <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">10-Mar-2018</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="2018-03-10"/>
            </collection>
         </Specimen>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:0a83e266-dae6-4412-8f81-e83ea68c2ee6"/>
      <resource>
         <Observation>
            <id value="0a83e266-dae6-4412-8f81-e83ea68c2ee6"/>
            <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>10-Mar-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>6.4</td>
                        <td>4.0 - 5.6</td>
                        <td>H</td>
                        <td>%</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="4548-4"/>
                  <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
               </coding>
               <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/>
               <display value="Danny Smith"/>
            </subject>
            <effectiveDateTime value="2018-03-10T17:08:38Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="6.4"/>
               <unit value="%"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="%"/>
            </valueQuantity>
            <interpretation>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="H"/>
                  <display value="High"/>
               </coding>
            </interpretation>
            <specimen>
               <reference value="urn:uuid:78cdf0f3-a5de-4420-8cef-b6bafe810611"/>
            </specimen>
            <referenceRange>
               <low>
                  <value value="4"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="%"/>
               </low>
               <high>
                  <value value="5.6"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="%"/>
               </high>
            </referenceRange>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:16026881-6d96-40c6-83d5-b74fb612a7a6"/>
      <resource>
         <Observation>
            <id value="16026881-6d96-40c6-83d5-b74fb612a7a6"/>
            <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>10-Mar-2018</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>98.6</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:9cf27837-7f38-4b1d-bbfb-acd77e2226cc"/>
               <display value="Danny Smith"/>
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                        <th>Test</th>
                        <th>10-Mar-2018</th>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
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                        <th>10-Mar-2018</th>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>10.0</td>
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                        <td>107.8</td>
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                        <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td>
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                        <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td>
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