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               <display value="Rosario Varela"/>
            </subject>
            <date value="2025-06-07T04:42:26Z"/>
            <author>
               <reference value="urn:uuid:54071e18-b102-46d8-b3c2-bede79e068e1"/>
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            <title value="Laboratory Report"/>
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               <title value="Laboratory Report"/>
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                  <coding>
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                     <code value="26436-6"/>
                     <display value="Laboratory studies (set)"/>
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                  <title value="Chemistry"/>
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                     <coding>
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                     <text value="Chemistry"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>07-JUN-2025</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>70.1</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>15.5</td>
                                 <td>7 - 18</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>141.3</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>3.8</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>110.9 H</strong>
                                 </td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>21.8 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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            </section>
            <section>
               <title value="Annotation comment"/>
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                     <display value="Annotation comment [Interpretation] Narrative"/>
                  </coding>
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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>The patient shows mildly elevated HbA1c, indicating suboptimal long-term glycemic control, suggestive of prediabetes or early diabetes. Chloride is slightly elevated and total CO₂ is mildly decreased, which may suggest a mild metabolic acidosis or compensation. Renal function, electrolytes, and glucose are otherwise within normal limits. Clinical correlation is recommended.</td>
                        </tr>
                     </table>
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                  <display value="Laboratory studies (set)"/>
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               <coding>
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               <reference value="urn:uuid:221d644c-85fa-486a-b177-dd87490f2f09"/>
               <display value="Rosario Varela"/>
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         </DiagnosticReport>
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         <Patient>
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               <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"/>
               </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>Rosario Varela</td>
                        <td>male</td>
                        <td>03-May-1956</td>
                     </tr>
                  </table>
               </div>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
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                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="ES"/>
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            </extension>
            <identifier>
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                     <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="8295-992682-3"/>
            </identifier>
            <identifier>
               <type>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <value value="e1ada39d-fcc0-87a3-bed2-b62ce595f14e"/>
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            <name>
               <text value="Rosario Varela"/>
               <family value="Varela"/>
               <given value="Rosario"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+34988 576 513"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1956-05-03"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Ronda de Graciela Llorens 62"/>
               <city value="Valencia"/>
               <postalCode value="46001"/>
               <country value="Spain"/>
            </address>
         </Patient>
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                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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               <reference value="urn:uuid:221d644c-85fa-486a-b177-dd87490f2f09"/>
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                  <code value="64859006"/>
                  <display value="Osteoporosis"/>
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                  <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="1254812006"/>
                  <display value="Substance dependence"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
               </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="196416002"/>
                  <display value="Impacted molars"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="124171000119105"/>
                  <display value="Chronic intractable migraine without aura"/>
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            </reasonCode>
            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="78275009"/>
                  <display value="Obstructive sleep apnea syndrome"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="39898005"/>
                  <display value="Sleep disorder"/>
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            </reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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            </reasonCode>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: f562fbee-d491-4ca1-bf60-555eb0ff93da</div>
            </text>
            <organization>
               <reference value="urn:uuid:4c474822-1cad-4e64-8a60-8d6aae05a52a"/>
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            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Centro Privado de Educación Especial Parálisis Cerebral Infantil</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="5fe856a9-7e62-4796-94b3-d32cfbfd73d7"/>
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                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
            <address>
               <line value="Calle Alboraya 4"/>
               <city value="Valencia"/>
               <postalCode value="46010"/>
               <country value="Spain"/>
            </address>
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                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">07-Jun-2025</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>07-Jun-2025</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>
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            </text>
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                        <td>Glucose [Mass/volume] in Blood</td>
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      <fullUrl value="urn:uuid:58648120-a673-42d0-8d2b-a49229139153"/>
      <resource>
         <Practitioner>
            <id value="58648120-a673-42d0-8d2b-a49229139153"/>
            <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="19151f56-5b93-4182-bfeb-94c70de0625f"/>
               <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>