<Bundle xmlns="http://hl7.org/fhir">
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   <timestamp value="2016-02-27T18:08:38Z"/>
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                  <display value="Laboratory studies (set)"/>
               </coding>
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               <display value="Danny Smith"/>
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            <date value="2016-02-27T18:08:38Z"/>
            <author>
               <reference value="urn:uuid:2eb605a7-f4e3-4666-a5d9-c1f02b4e5880"/>
            </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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               <section>
                  <title value="Chemistry"/>
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                        <system value="http://loinc.org"/>
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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>27-FEB-2016</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.3 H</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>76.8</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>18.4</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>8.8</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>140.5</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>5.1 H</strong>
                                 </td>
                                 <td>3.5 - 5.0</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>104.2</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>20.8 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
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                  </entry>
                  <entry>
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                  </entry>
                  <entry>
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                  </entry>
                  <entry>
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                  </entry>
               </section>
            </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"/>
                  </coding>
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                  <status value="generated"/>
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                     <h3>Annotation</h3>
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                        <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, suggesting impaired glucose metabolism or early diabetes. Creatinine and potassium are slightly elevated, which may indicate early renal dysfunction. Low total CO₂ could suggest mild metabolic acidosis. Recommend further evaluation of renal function and glycemic control, and clinical correlation for possible underlying causes.</td>
                        </tr>
                     </table>
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            <status value="registered"/>
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                  <display value="Laboratory studies (set)"/>
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            <code>
               <coding>
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               <display value="Danny Smith"/>
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            <specimen>
               <reference value="urn:uuid:a77e9d14-a1c0-4dc2-8444-664dbf986ca4"/>
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            <result>
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            <result>
               <reference value="urn:uuid:febcc26b-c326-498b-ae86-c76a0b05fedb"/>
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            <result>
               <reference value="urn:uuid:a4ff34d4-3fce-4915-ad76-f83ebab1fec3"/>
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            <result>
               <reference value="urn:uuid:71c2e7d7-2e5e-4cf4-8807-35b6e5a8c153"/>
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         </DiagnosticReport>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:840639a6-1ba9-422b-b519-dfc8a4786462"/>
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         <Patient>
            <id value="840639a6-1ba9-422b-b519-dfc8a4786462"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
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               <tag>
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                  <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">
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                        <system value="urn:iso:std:iso:3166"/>
                        <code value="GB"/>
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            </extension>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               <value value="7706-924408-3"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <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>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
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               <reference value="urn:uuid:840639a6-1ba9-422b-b519-dfc8a4786462"/>
               <display value="Danny Smith"/>
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            <reasonCode>
               <coding>
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                  <code value="271737000"/>
                  <display value="Anemia"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78275009"/>
                  <display value="Obstructive sleep apnea syndrome"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="39898005"/>
                  <display value="Sleep disorder"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:a77e9d14-a1c0-4dc2-8444-664dbf986ca4"/>
            </specimen>
         </ServiceRequest>
      </resource>
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            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 02254850-f3c1-4d68-8432-abdef1186c05</div>
            </text>
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            <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="9f2aa5d5-9427-4c95-9e61-0d46c89b75a6"/>
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            <name value="Evelina Children's Hospital"/>
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               <city value="London"/>
               <postalCode value="SE1 7"/>
               <country value="United Kingdom"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">27-Feb-2016</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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         </Specimen>
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                        <th>Test</th>
                        <th>27-Feb-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
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                        <td>4.0 - 5.6</td>
                        <td>H</td>
                        <td>%</td>
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            </subject>
            <effectiveDateTime value="2016-02-27T17:08:38Z"/>
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                        <th>Test</th>
                        <th>27-Feb-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>76.8</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <value value="70"/>
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                  <value value="100"/>
                  <system value="http://unitsofmeasure.org"/>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>27-Feb-2016</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>18.4</td>
                        <td>7 - 20</td>
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                        <td>mg/dL</td>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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               <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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                        <th>Test</th>
                        <th>27-Feb-2016</th>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>1.4</td>
                        <td>0.6 - 1.3</td>
                        <td>H</td>
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               <coding>
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                  <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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                  <code value="H"/>
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                        <th>Test</th>
                        <th>27-Feb-2016</th>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>8.8</td>
                        <td>8.5 - 10.5</td>
                        <td/>
                        <td>mg/dL</td>
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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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               <display value="Danny Smith"/>
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                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>140.5</td>
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                        <td>mmol/L</td>
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                  <code value="2947-0"/>
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            <id value="febcc26b-c326-498b-ae86-c76a0b05fedb"/>
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                        <td>Potassium [Moles/volume] in Blood</td>
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                  <code value="6298-4"/>
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               <text value="Potassium [Moles/volume] in Blood"/>
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                  <code value="H"/>
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                        <th>27-Feb-2016</th>
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                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>104.2</td>
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                        <td>mmol/L</td>
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                  <code value="2069-3"/>
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                  <table class="hl7__eu__lab__report">
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                        <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                        <td>20.8</td>
                        <td>22 - 29</td>
                        <td>L</td>
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                  <code value="20565-8"/>
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               <display value="Danny Smith"/>
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                  <code value="L"/>
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               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">SYNDERAI Synthetic Generator v5.0</div>
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            <status value="active"/>
            <distinctIdentifier value="synderai-generator-50"/>
            <manufacturer value="SYNDERAI Project"/>
            <deviceName>
               <name value="SYNDERAI Synthetic Generator"/>
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               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div>
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            <target>
               <reference value="urn:uuid:840639a6-1ba9-422b-b519-dfc8a4786462"/>
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            <target>
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            <target>
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            <target>
               <reference value="urn:uuid:02254850-f3c1-4d68-8432-abdef1186c05"/>
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            <target>
               <reference value="urn:uuid:41389674-915b-4ba9-9b14-3ed84b842c23"/>
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               <text value="Interoperability Testing and Training (non-clinical use)"/>
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            <activity>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                  <code value="CREATE"/>
                  <display value="create"/>
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               <text value="Synthetic Example Data Generation"/>
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                     <code value="author"/>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">Laboratory Role Id: 2eb605a7-f4e3-4666-a5d9-c1f02b4e5880</div>
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            <text>
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            </address>
         </Practitioner>
      </resource>
   </entry>
</Bundle>