<Bundle xmlns="http://hl7.org/fhir">
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   <type value="document"/>
   <timestamp value="2021-06-16T01:58:31Z"/>
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                  <system value="http://loinc.org"/>
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                  <display value="Laboratory report"/>
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               <text value="Laboratory Report"/>
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                  <display value="Laboratory studies (set)"/>
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            <subject>
               <reference value="urn:uuid:4fb9411f-21b9-458a-bb75-47f137fcca9a"/>
               <display value="Patrizio Berrè"/>
            </subject>
            <date value="2021-06-16T01:58:31Z"/>
            <author>
               <reference value="urn:uuid:488ea705-8a49-45db-ab8a-ff0398a82094"/>
            </author>
            <title value="Laboratory Report"/>
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="26436-6"/>
                     <display value="Laboratory studies (set)"/>
                  </coding>
                  <text value="Laboratory studies"/>
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                  <title value="Chemistry"/>
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                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
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                     <text value="Chemistry"/>
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                  <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>16-JUN-2021</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>5.9</td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>70.4</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>18.6</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>1.0</td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.9</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>140.6</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>3.9</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>103.8</td>
                                 <td>98 - 110</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>26.7</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>207.7 H</strong>
                                 </td>
                                 <td>125 - 200</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Triglyceride [Mass/volume] in Serum or Plasma</td>
                                 <td>126.0</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>
                                    <strong>131.7 H</strong>
                                 </td>
                                 <td>0 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td>
                                 <td>50.8</td>
                                 <td>40 - 60</td>
                                 <td>mg/dL</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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            </section>
            <section>
               <title value="Annotation comment"/>
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                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="48767-8"/>
                     <display value="Annotation comment [Interpretation] Narrative"/>
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                  <status value="generated"/>
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                     <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>All basic metabolic and glycemic parameters are within normal limits. However, total cholesterol and LDL cholesterol are elevated, indicating increased cardiovascular risk. Recommend dietary modification, lifestyle changes, and clinical follow-up for lipid management. No evidence of renal or electrolyte disturbances.</td>
                        </tr>
                     </table>
                  </div>
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            <result>
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         </DiagnosticReport>
      </resource>
   </entry>
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         <Patient>
            <id value="4fb9411f-21b9-458a-bb75-47f137fcca9a"/>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
               </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">
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                        <system value="urn:iso:std:iso:3166"/>
                        <code value="IT"/>
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                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="3822-672758-4"/>
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            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <value value="4a342475-0774-e48e-ea0e-23e156676372"/>
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            <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>
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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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            <status value="active"/>
            <intent value="order"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:4fb9411f-21b9-458a-bb75-47f137fcca9a"/>
               <display value="Patrizio Berrè"/>
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            <requester>
               <reference value="urn:uuid:32d0d2fc-ecaa-4834-a766-bf04e24ac1bf"/>
            </requester>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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            </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"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 32d0d2fc-ecaa-4834-a766-bf04e24ac1bf</div>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Ospedale Vecchio di Montebelluna</div>
            </text>
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               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="47a0d1b7-3025-4242-a4a4-f19e3894384e"/>
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            <name value="Ospedale Vecchio di Montebelluna"/>
            <address>
               <line value="Via Sant'Andrea nan"/>
               <city value="Montebelluna"/>
               <postalCode value="31044"/>
               <country value="Italy"/>
            </address>
         </Organization>
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">15-Jun-2021</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <system value="http://snomed.info/sct"/>
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">15-Jun-2021</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <system value="http://snomed.info/sct"/>
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                  <display value="Acellular blood (serum or plasma) specimen"/>
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                        <th>Test</th>
                        <th>16-Jun-2021</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>5.9</td>
                        <td>4.8 - 5.9</td>
                        <td/>
                        <td>%</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
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               <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
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                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>70.4</td>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>18.6</td>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>9.9</td>
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                        <td>Sodium [Moles/volume] in Blood</td>
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                        <td>3.9</td>
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                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>103.8</td>
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