<Bundle xmlns="http://hl7.org/fhir">
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   <type value="document"/>
   <timestamp value="2020-08-28T20:19:01Z"/>
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                  <display value="Laboratory studies (set)"/>
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               <display value="Herma Jacobi Jäckel"/>
            </subject>
            <date value="2020-08-28T20:19:01Z"/>
            <author>
               <reference value="urn:uuid:a6ae98ab-2d58-4042-a295-959dff107009"/>
            </author>
            <title value="Laboratory Report"/>
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="26436-6"/>
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                  <title value="Chemistry"/>
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                     <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>28-AUG-2020</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>83.8</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>13.9</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>0.8</td>
                                 <td>0.5 - 1.1</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.9</td>
                                 <td>8.6 - 10.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>137.6</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.0</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>105.4</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>25.4</td>
                                 <td>22 - 32</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
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                  <entry>
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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>
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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’s HbA1c is elevated (6.3%), indicating impaired glucose metabolism consistent with prediabetes or early diabetes, despite a normal fasting glucose. Renal function (urea, creatinine), electrolytes, and calcium are within normal limits. No acute metabolic or renal abnormalities detected. Recommend further evaluation and monitoring of glycemic control.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
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               <coding>
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            <specimen>
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            <result>
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         </DiagnosticReport>
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   <entry>
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         <Patient>
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            <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"/>
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                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
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            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Herma Jacobi Jäckel</td>
                        <td>female</td>
                        <td>25-Sep-1973</td>
                     </tr>
                  </table>
               </div>
            </text>
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                        <system value="urn:iso:std:iso:3166"/>
                        <code value="DE"/>
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               </extension>
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               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               <value value="6016-265554-6"/>
            </identifier>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <value value="7dc8fe75-a951-3bc5-62af-c83bcd66dd04"/>
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               <text value="Herma Jacobi Jäckel"/>
               <family value="Jacobi Jäckel"/>
               <given value="Herma"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+49(0)7115 390771"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1973-09-25"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Jorge-Linke-Gasse 15/68"/>
               <city value="Mayen"/>
               <postalCode value="56727"/>
               <country value="Germany"/>
            </address>
         </Patient>
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                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
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               <reference value="urn:uuid:a4af4201-fc09-438c-9217-f9d181abab96"/>
               <display value="Herma Jacobi Jäckel"/>
            </subject>
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            <reasonCode>
               <coding>
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                  <code value="271737000"/>
                  <display value="Anemia"/>
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            </reasonCode>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
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            </reasonCode>
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   <entry>
      <fullUrl value="urn:uuid:96b948cf-b569-4371-af3c-7884d9113810"/>
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         <PractitionerRole>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 96b948cf-b569-4371-af3c-7884d9113810</div>
            </text>
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            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Facharzt für Allgemeinmedizin Johann Holbach</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="8a53125b-c12c-4e20-a834-5e4c273d630f"/>
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               </assigner>
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            <name value="Facharzt für Allgemeinmedizin Johann Holbach"/>
            <address>
               <line value="Schulstraße 12"/>
               <city value="Mertloch"/>
               <postalCode value="56753"/>
               <country value="Germany"/>
            </address>
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                  <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">28-Aug-2020</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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               <coding>
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            </type>
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               <collectedDateTime value="2020-08-28"/>
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                        <th>Test</th>
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                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>6.3</td>
                        <td>4.0 - 5.6</td>
                        <td>H</td>
                        <td>%</td>
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                        <th>28-Aug-2020</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>83.8</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
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