<Bundle xmlns="http://hl7.org/fhir">
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      <assigner>
         <display value="HL7 Europe"/>
      </assigner>
   </identifier>
   <type value="document"/>
   <timestamp value="2016-05-18T01:58:31Z"/>
   <entry>
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            </text>
            <extension url="http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference">
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            </identifier>
            <status value="final"/>
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                  <system value="http://loinc.org"/>
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               </coding>
               <text value="Laboratory Report"/>
            </type>
            <category>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
               </coding>
            </category>
            <subject>
               <reference value="urn:uuid:6b5daa86-1e25-4e08-8126-a3280fba6ec0"/>
               <display value="Patrizio Berrè"/>
            </subject>
            <date value="2016-05-18T01:58:31Z"/>
            <author>
               <reference value="urn:uuid:2bc82cc0-11fb-4c73-bf96-d4ee44c95571"/>
            </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>
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               </code>
               <section>
                  <title value="Chemistry"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
                     </coding>
                     <text value="Chemistry"/>
                  </code>
                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>18-MAY-2016</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.2 H</strong>
                                 </td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>71.1</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>17.3</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>0.9</td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.1</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>137.8</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.6</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>105.6</td>
                                 <td>98 - 110</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>21.7 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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                  <entry>
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                  </entry>
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                     <reference value="urn:uuid:22ce128f-0afa-46d6-9e93-dc37ea8a9490"/>
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                  <entry>
                     <reference value="urn:uuid:39e6e328-7a81-4f70-9cdb-2ff63ec054d5"/>
                  </entry>
                  <entry>
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                  </entry>
                  <entry>
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                  </entry>
                  <entry>
                     <reference value="urn:uuid:0344f6f6-42c6-46de-a0f7-735ee336602f"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:3e2e4939-1f99-4eba-ab94-22076d29e910"/>
                  </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 mildly elevated HbA1c, indicating suboptimal long-term glycemic control (prediabetes or early diabetes). All other parameters, including renal function and electrolytes, are within normal limits except for a slightly low total CO₂, which may suggest mild metabolic acidosis or compensation. No acute abnormalities detected; recommend monitoring glycemic control and considering further evaluation of acid-base status if clinically indicated.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
         </Composition>
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         <DiagnosticReport>
            <id value="02be6e12-5698-40c7-90f7-937f9ab9a1c7"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"/>
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            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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            <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition">
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               <value value="958c521b-1c90-40c5-b39b-570526ee61ef"/>
               <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:6b5daa86-1e25-4e08-8126-a3280fba6ec0"/>
               <display value="Patrizio Berrè"/>
            </subject>
            <specimen>
               <reference value="urn:uuid:0d2ad870-7802-498d-b533-ea9e885bb184"/>
            </specimen>
            <result>
               <reference value="urn:uuid:4de5471b-5df3-4695-ace0-66583c46d21d"/>
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            <result>
               <reference value="urn:uuid:369c3966-09e5-4971-95aa-b8d16eb7fd8f"/>
            </result>
            <result>
               <reference value="urn:uuid:368134d8-051d-4699-a29c-fa53075448a0"/>
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            <result>
               <reference value="urn:uuid:22ce128f-0afa-46d6-9e93-dc37ea8a9490"/>
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            <result>
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            <result>
               <reference value="urn:uuid:121cff66-c4ee-4e67-93dd-d0c0fb5d2559"/>
            </result>
            <result>
               <reference value="urn:uuid:292869ef-89b6-4c2f-b2dc-25511562a99d"/>
            </result>
            <result>
               <reference value="urn:uuid:0344f6f6-42c6-46de-a0f7-735ee336602f"/>
            </result>
            <result>
               <reference value="urn:uuid:3e2e4939-1f99-4eba-ab94-22076d29e910"/>
            </result>
         </DiagnosticReport>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:6b5daa86-1e25-4e08-8126-a3280fba6ec0"/>
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         <Patient>
            <id value="6b5daa86-1e25-4e08-8126-a3280fba6ec0"/>
            <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>Patrizio Berrè</td>
                        <td>male</td>
                        <td>21-Feb-1949</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="IT"/>
                     </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="3822-672758-4"/>
            </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="4a342475-0774-e48e-ea0e-23e156676372"/>
            </identifier>
            <name>
               <text value="Patrizio Berrè"/>
               <family value="Berrè"/>
               <given value="Patrizio"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+39 0362156842"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1949-02-21"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Via Bossi, 62"/>
               <city value="Fanzolo"/>
               <postalCode value="31040"/>
               <country value="Italy"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:44ccf67e-69ba-4b1e-9287-8b02d32779b3"/>
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         <ServiceRequest>
            <id value="44ccf67e-69ba-4b1e-9287-8b02d32779b3"/>
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            </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="398ae8e9-9f73-477a-bf2a-a03c69ed074b"/>
            </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:6b5daa86-1e25-4e08-8126-a3280fba6ec0"/>
               <display value="Patrizio Berrè"/>
            </subject>
            <requester>
               <reference value="urn:uuid:929f45b4-4339-4ba4-ba30-0a7f6bbc19ac"/>
            </requester>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="55822004"/>
                  <display value="Hyperlipidemia"/>
               </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:0d2ad870-7802-498d-b533-ea9e885bb184"/>
            </specimen>
         </ServiceRequest>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:929f45b4-4339-4ba4-ba30-0a7f6bbc19ac"/>
      <resource>
         <PractitionerRole>
            <id value="929f45b4-4339-4ba4-ba30-0a7f6bbc19ac"/>
            <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: 929f45b4-4339-4ba4-ba30-0a7f6bbc19ac</div>
            </text>
            <organization>
               <reference value="urn:uuid:c9624dc1-325d-41bf-964a-759cad2f5360"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:c9624dc1-325d-41bf-964a-759cad2f5360"/>
      <resource>
         <Organization>
            <id value="c9624dc1-325d-41bf-964a-759cad2f5360"/>
            <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: Ospedale Vecchio di Montebelluna</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="71a1365f-9705-41b3-86c8-1c7167b35c41"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Ospedale Vecchio di Montebelluna"/>
            <address>
               <line value="Via Sant'Andrea nan"/>
               <city value="Montebelluna"/>
               <postalCode value="31044"/>
               <country value="Italy"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:0d2ad870-7802-498d-b533-ea9e885bb184"/>
      <resource>
         <Specimen>
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            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">17-May-2016</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="2016-05-17"/>
            </collection>
         </Specimen>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:4de5471b-5df3-4695-ace0-66583c46d21d"/>
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         <Observation>
            <id value="4de5471b-5df3-4695-ace0-66583c46d21d"/>
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            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>18-May-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>6.2</td>
                        <td>4.8 - 5.9</td>
                        <td>H</td>
                        <td>%</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <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:6b5daa86-1e25-4e08-8126-a3280fba6ec0"/>
               <display value="Patrizio Berrè"/>
            </subject>
            <effectiveDateTime value="2016-05-17T23:58:31Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
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               <code value="%"/>
            </valueQuantity>
            <interpretation>
               <coding>
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                  <code value="H"/>
                  <display value="High"/>
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            <specimen>
               <reference value="urn:uuid:0d2ad870-7802-498d-b533-ea9e885bb184"/>
            </specimen>
            <referenceRange>
               <low>
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                  <system value="http://unitsofmeasure.org"/>
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               <high>
                  <value value="5.9"/>
                  <system value="http://unitsofmeasure.org"/>
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            </referenceRange>
         </Observation>
      </resource>
   </entry>
   <entry>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>18-May-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>71.1</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <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:6b5daa86-1e25-4e08-8126-a3280fba6ec0"/>
               <display value="Patrizio Berrè"/>
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            <effectiveDateTime value="2016-05-17T23:58:31Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="71.1"/>
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               <code value="mg/dL"/>
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               <low>
                  <value value="70"/>
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                  <value value="100"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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   <entry>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>18-May-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>17.3</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6299-2"/>
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               <text value="Urea nitrogen [Mass/volume] in Blood"/>
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               <display value="Patrizio Berrè"/>
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         <Observation>
            <id value="22ce128f-0afa-46d6-9e93-dc37ea8a9490"/>
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                        <th>Test</th>
                        <th>18-May-2016</th>
                        <th>Reference Range</th>
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                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>0.9</td>
                        <td>0.6 - 1.3</td>
                        <td/>
                        <td>mg/dL</td>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="38483-4"/>
                  <display value="Creatinine [Mass/volume] in Blood"/>
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               <text value="Creatinine [Mass/volume] in Blood"/>
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            <id value="39e6e328-7a81-4f70-9cdb-2ff63ec054d5"/>
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                        <th>Test</th>
                        <th>18-May-2016</th>
                        <th>Reference Range</th>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>9.1</td>
                        <td>8.5 - 10.5</td>
                        <td/>
                        <td>mg/dL</td>
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                  <code value="laboratory"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="49765-1"/>
                  <display value="Calcium [Mass/volume] in Blood"/>
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               <text value="Calcium [Mass/volume] in Blood"/>
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                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>137.8</td>
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                        <td>mmol/L</td>
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                  <code value="2947-0"/>
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            <id value="292869ef-89b6-4c2f-b2dc-25511562a99d"/>
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                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.6</td>
                        <td>3.5 - 5.1</td>
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                  <code value="6298-4"/>
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               <text value="Potassium [Moles/volume] in Blood"/>
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                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>105.6</td>
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                        <td>mmol/L</td>
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                  <code value="2069-3"/>
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                        <td>Carbon dioxide, total [Moles/volume] in Blood</td>
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               <text value="Carbon dioxide, total [Moles/volume] in Blood"/>
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               <status value="generated"/>
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            <status value="active"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div>
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            <target>
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            <target>
               <reference value="urn:uuid:929f45b4-4339-4ba4-ba30-0a7f6bbc19ac"/>
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            <target>
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               <text value="Interoperability Testing and Training (non-clinical use)"/>
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               <coding>
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                  <code value="CREATE"/>
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               <text value="Synthetic Example Data Generation"/>
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