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               <title value="Laboratory Report"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>05-OCT-2022</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>93.7</td>
                                 <td>70 - 140</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>17.8</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>1.8 H</strong>
                                 </td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Serum or Plasma</td>
                                 <td>10.1</td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>141.3</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>3.9</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>103.2</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>21.7 L</strong>
                                 </td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
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                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test = +</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>3.4 L</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>93.7</td>
                                 <td>70 - 140</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>17.8</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>1.2</td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>10.1</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>3.9</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>103.2</td>
                                 <td>98 - 107</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>
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                  <title value="Urinalysis"/>
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                        <h3>Urinalysis</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>05-OCT-2022</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
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                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>1.8</td>
                                 <td>0 - 5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Presence] in Urine by Test strip</td>
                                 <td>Urine glucose test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Urine by Test strip</td>
                                 <td>0.6</td>
                                 <td>0 - 4</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Presence] in Urine by Test strip</td>
                                 <td>Finding of bilirubin in urine</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Ketones [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>19.5 H</strong>
                                 </td>
                                 <td>0 - 4</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Specific gravity of Urine by Test strip</td>
                                 <td>
                                    <strong>1.0 L</strong>
                                 </td>
                                 <td>1.005 - 1.030</td>
                                 <td>{nominal}</td>
                              </tr>
                              <tr>
                                 <td>pH of Urine by Test strip</td>
                                 <td>5.1</td>
                                 <td>5.0 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>261.3 H</strong>
                                 </td>
                                 <td>0 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Protein [Presence] in Urine by Test strip</td>
                                 <td>Urine protein test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Nitrite [Presence] in Urine by Test strip</td>
                                 <td>Urine nitrite negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Presence] in Urine by Test strip</td>
                                 <td>Urine blood test = negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
                                 <td>Urine leukocyte test negative</td>
                                 <td/>
                                 <td/>
                              </tr>
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                        <h3>Specimen information</h3>
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                                 <th>Test</th>
                                 <th>05-OCT-2022</th>
                                 <th>Specimen</th>
                                 <th/>
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                              <tr>
                                 <td>Appearance of Urine</td>
                                 <td>Cloudy urine</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Odor of Urine</td>
                                 <td>Urine smell ammoniacal</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Clarity of Urine</td>
                                 <td>Translucent</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Color of Urine</td>
                                 <td>Brown color</td>
                                 <td>Urine</td>
                                 <td/>
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                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>Renal function is mildly impaired (elevated creatinine), and metabolic acidosis is suggested (low CO₂). Urinalysis shows significant proteinuria, ketonuria, glucosuria, and abnormal appearance (cloudy, brown, ammoniacal), but no evidence of infection (negative nitrite/leukocytes). Low HbA1c with glucosuria may indicate recent glycemic changes or renal glycosuria. Findings suggest possible acute or chronic kidney disease with nephrotic-range proteinuria and metabolic derangement; further clinical correlation and nephrology evaluation are recommended.</td>
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               <security>
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            <gender value="female"/>
            <birthDate value="1939-09-10"/>
            <address>
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               <type value="physical"/>
               <line value="7, chemin Lenoir"/>
               <city value="Delahaye-la-Forêt"/>
               <postalCode value="50570"/>
               <country value="France"/>
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                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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                  <code value="433144002"/>
                  <display value="Chronic kidney disease stage 3"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="157141000119108"/>
                  <display value="Proteinuria due to type 2 diabetes mellitus"/>
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                  <code value="431856006"/>
                  <display value="Chronic kidney disease stage 2"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="90781000119102"/>
                  <display value="Microalbuminuria due to type 2 diabetes mellitus"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26929004"/>
                  <display value="Alzheimer's disease"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="401303003"/>
                  <display value="Acute ST segment elevation myocardial infarction"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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            <reasonCode>
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                  <code value="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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            <reasonCode>
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                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
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                  <code value="79619009"/>
                  <display value="Mitral valve stenosis"/>
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            <reasonCode>
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                  <code value="55822004"/>
                  <display value="Hyperlipidemia"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
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            </reasonCode>
            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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            <specimen>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: dd71db36-4d08-4bdd-8567-f203a5579170</div>
            </text>
            <organization>
               <reference value="urn:uuid:430a7b2d-c827-4913-a3e0-c4efba262992"/>
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            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Maison Médical</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="1a408755-3a99-4d04-8c09-5695782f1b96"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Maison Médical"/>
            <address>
               <country value="France"/>
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         </Organization>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
                        <th>Collection Date</th>
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                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">05-Oct-2022</span>
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                  </table>
               </div>
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                  <display value="Acellular blood (serum or plasma) specimen"/>
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                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
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                        <td>70 - 140</td>
                        <td/>
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               <coding>
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                  <display value="Glucose [Mass/volume] in Serum or Plasma"/>
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               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
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                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
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                        <th>05-Oct-2022</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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                        <td/>
                        <td>mg/dL</td>
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               </div>
            </text>
            <status value="final"/>
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                        <th>05-Oct-2022</th>
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                        <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
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                        <td>Glucose [Mass/volume] in Blood</td>
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               <value value="21.7"/>
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               <system value="http://unitsofmeasure.org"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
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            <specimen>
               <reference value="urn:uuid:e1109a5b-30c0-4742-8db8-0f8c7dbb7cf7"/>
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            <referenceRange>
               <low>
                  <value value="22"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
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               <high>
                  <value value="29"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
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         <Device>
            <id value="805f30a0-b353-4977-8039-15654bfd9711"/>
            <text>
               <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"/>
               <type value="manufacturer-name"/>
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               <value value="5.0"/>
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         <Provenance>
            <id value="f5d013f2-a9db-4148-960d-ff49dd977357"/>
            <text>
               <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:ffd7afd5-162a-4cfa-96fd-d32db7a1ec64"/>
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               <reference value="urn:uuid:dd71db36-4d08-4bdd-8567-f203a5579170"/>
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            <target>
               <reference value="urn:uuid:430a7b2d-c827-4913-a3e0-c4efba262992"/>
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            <recorded value="2022-10-05T08:42:07Z"/>
            <policy value="https://synderai.net/synderai-synthetic-data-policy"/>
            <reason>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
                  <display value="training"/>
               </coding>
               <text value="Interoperability Testing and Training (non-clinical use)"/>
            </reason>
            <activity>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                  <code value="CREATE"/>
                  <display value="create"/>
               </coding>
               <text value="Synthetic Example Data Generation"/>
            </activity>
            <agent>
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                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
                     <code value="author"/>
                     <display value="Author"/>
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                  <text value="author"/>
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               <who>
                  <reference value="urn:uuid:805f30a0-b353-4977-8039-15654bfd9711"/>
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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">Laboratory Role Id: b5daca3e-9a58-433e-8bf2-a7e186064ebc</div>
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            <practitioner>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>
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            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="c553f889-90a7-4065-b743-4af0e67fe37f"/>
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                  <display value="HL7 Europe"/>
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            <name>
               <family value="Ample"/>
               <given value="Ex"/>
               <prefix value="dr"/>
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            <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>