<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"/> </code> <section> <title value="Chemistry"/> <code> <coding> <system value="http://loinc.org"/> <code value="18719-5"/> <display value="Chemistry studies (set)"/> </coding> <text value="Chemistry"/> </code> <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>25-JAN-2017</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>4.8 - 5.9</td> <td>%</td> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>86.5</td> <td>70 - 100</td> <td>mg/dL</td> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>15.8</td> <td>7 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td>1.1</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>8.6 - 10.3</td> <td>mg/dL</td> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>144.0</td> <td>135 - 145</td> <td>mmol/L</td> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>4.7</td> <td>3.5 - 5.1</td> <td>mmol/L</td> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td>104.2</td> <td>98 - 110</td> <td>mmol/L</td> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>22.4</td> <td>22 - 29</td> <td>mmol/L</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:993aa611-5c1c-4f14-9f76-f5f496325e82"/> </entry> <entry> <reference value="urn:uuid:10b6cc02-c3f2-4524-8e67-895451be5769"/> </entry> <entry> <reference value="urn:uuid:fbfb730f-627f-4728-a904-3ac16a9d1665"/> </entry> <entry> <reference value="urn:uuid:04008379-6548-4a3c-9f08-daf846031e45"/> </entry> <entry> <reference value="urn:uuid:09b7cd32-513b-4902-9030-e1935e143f53"/> </entry> <entry> <reference value="urn:uuid:08c36924-ad6f-4def-86ef-8533c486fdce"/> </entry> <entry> <reference value="urn:uuid:3adafc66-410a-4155-8394-4efe77e6da29"/> </entry> <entry> <reference value="urn:uuid:3ffdfbe3-7b91-41ce-9d16-d09db0670da2"/> </entry> <entry> <reference value="urn:uuid:eb83a1b6-4f94-4f29-82f3-3fe3a0e0b547"/> </entry> </section> </section> <section> <title value="Annotation comment"/> <code> <coding> <system value="http://loinc.org"/> <code value="48767-8"/> <display value="Annotation comment [Interpretation] Narrative"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <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 laboratory values are within normal limits except for a mildly elevated HbA1c (6.3%), indicating impaired glucose metabolism or possible prediabetes/early diabetes. Renal function, electrolytes, and other parameters are normal. Recommend clinical correlation and consideration of further evaluation or management of glycemic control.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:6734f1ab-8bd7-4f9e-82da-c2233f1395e4"/> <resource> <DiagnosticReport> <id value="6734f1ab-8bd7-4f9e-82da-c2233f1395e4"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"/> </meta> <text> <status value="empty"/> <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div> </text> <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"> <valueReference> <reference value="urn:uuid:0ade1c3f-bfc3-4a34-8cbc-55ab9b3e3225"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="fb576529-8c69-4ad9-b5af-25ec2f9d91a8"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="39c3ed21-9e5a-4f9e-bc33-b48b7939eff2"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <status value="registered"/> <category> <coding> <system value="http://loinc.org"/> <code value="26436-6"/> <display value="Laboratory studies (set)"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="11502-2"/> <display value="Laboratory report"/> </coding> </code> <subject> <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <display value="Katja Mäkelä"/> </subject> <specimen> <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/> </specimen> <result> <reference value="urn:uuid:993aa611-5c1c-4f14-9f76-f5f496325e82"/> </result> <result> <reference value="urn:uuid:10b6cc02-c3f2-4524-8e67-895451be5769"/> </result> <result> <reference value="urn:uuid:fbfb730f-627f-4728-a904-3ac16a9d1665"/> </result> <result> <reference value="urn:uuid:04008379-6548-4a3c-9f08-daf846031e45"/> </result> <result> <reference value="urn:uuid:09b7cd32-513b-4902-9030-e1935e143f53"/> </result> <result> <reference value="urn:uuid:08c36924-ad6f-4def-86ef-8533c486fdce"/> </result> <result> <reference value="urn:uuid:3adafc66-410a-4155-8394-4efe77e6da29"/> </result> <result> <reference value="urn:uuid:3ffdfbe3-7b91-41ce-9d16-d09db0670da2"/> </result> <result> <reference value="urn:uuid:eb83a1b6-4f94-4f29-82f3-3fe3a0e0b547"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <resource> <Patient> <id value="8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> </security> <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>Katja Mäkelä</td> <td>female</td> <td>28-Nov-1954</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality"> <extension url="code"> <valueCodeableConcept> <coding> <system value="urn:iso:std:iso:3166"/> <code value="FI"/> </coding> </valueCodeableConcept> </extension> </extension> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="JHN"/> </coding> </type> <system value="http://ec.europa.eu/identifier/eci"/> <value value="6615-747498-3"/> </identifier> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="http://local.setting.eu/identifier"/> <value value="e7570594-685d-7400-6db7-a18cbeb46b95"/> </identifier> <name> <text value="Katja Mäkelä"/> <family value="Mäkelä"/> <given value="Katja"/> </name> <telecom> <system value="phone"/> <value value="(+358) 606162265"/> </telecom> <gender value="female"/> <birthDate value="1954-11-28"/> <address> <use value="home"/> <type value="physical"/> <line value="Uudenkaupunginkuja 53"/> <city value="Saarijärvi"/> <postalCode value="43100"/> <country value="Finland"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:079b065a-0d86-4924-b27c-55311ef5a2b3"/> <resource> <ServiceRequest> <id value="079b065a-0d86-4924-b27c-55311ef5a2b3"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/> </meta> <text> <status value="empty"/> <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div> </text> <identifier> <system value="http://example.org"/> <value value="4e7d8c0c-8504-4053-9e9e-925e20e37528"/> </identifier> <status value="active"/> <intent value="order"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="108252007"/> <display value="Laboratory procedure"/> </coding> </code> <subject> <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <display value="Katja Mäkelä"/> </subject> <requester> <reference value="urn:uuid:11cd738d-66b9-4e2f-aa6f-9f8ad0f34ac7"/> </requester> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="401303003"/> <display value="Acute ST segment elevation myocardial infarction"/> </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="59621000"/> <display value="Essential hypertension"/> </coding> </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"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="185086009"/> <display value="Emphysematous bronchitis"/> </coding> </reasonCode> <specimen> <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/> </specimen> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:11cd738d-66b9-4e2f-aa6f-9f8ad0f34ac7"/> <resource> <PractitionerRole> <id value="11cd738d-66b9-4e2f-aa6f-9f8ad0f34ac7"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 11cd738d-66b9-4e2f-aa6f-9f8ad0f34ac7</div> </text> <organization> <reference value="urn:uuid:c7d1fd62-a65c-4964-aaf9-49ff434d03de"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:c7d1fd62-a65c-4964-aaf9-49ff434d03de"/> <resource> <Organization> <id value="c7d1fd62-a65c-4964-aaf9-49ff434d03de"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Vesannon terveyskeskus</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="00686e30-5ae6-4984-84a0-26e2f161782d"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Vesannon terveyskeskus"/> <address> <line value="Terveystie"/> <country value="Finland"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/> <resource> <Specimen> <id value="346ff1a3-82af-4710-894d-bc21881c154f"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <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">25-Jan-2017</span> </td> </tr> </table> </div> </text> <type> <coding> <system value="http://snomed.info/sct"/> <code value="258580003"/> <display value="Whole blood specimen (specimen)"/> </coding> </type> <collection> <collectedDateTime value="2017-01-25"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:993aa611-5c1c-4f14-9f76-f5f496325e82"/> <resource> <Observation> <id value="993aa611-5c1c-4f14-9f76-f5f496325e82"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>25-Jan-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td>6.3</td> <td>4.8 - 5.9</td> <td>H</td> <td>%</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="4548-4"/> <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/> </coding> <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/> </code> <subject> <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <display value="Katja Mäkelä"/> </subject> <effectiveDateTime value="2017-01-25T08:59:15Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="6.3"/> <unit value="%"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="H"/> <display value="High"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/> </specimen> <referenceRange> <low> <value value="4.8"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </low> <high> <value value="5.9"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:10b6cc02-c3f2-4524-8e67-895451be5769"/> <resource> <Observation> <id value="10b6cc02-c3f2-4524-8e67-895451be5769"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>25-Jan-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>86.5</td> <td>70 - 100</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="2339-0"/> <display value="Glucose [Mass/volume] in Blood"/> </coding> <text value="Glucose [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <display value="Katja Mäkelä"/> </subject> <effectiveDateTime value="2017-01-25T08:59:15Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="86.5"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/> </specimen> <referenceRange> <low> <value value="70"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="100"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:fbfb730f-627f-4728-a904-3ac16a9d1665"/> <resource> <Observation> <id value="fbfb730f-627f-4728-a904-3ac16a9d1665"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>25-Jan-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>15.8</td> <td>7 - 20</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="6299-2"/> <display value="Urea nitrogen [Mass/volume] in Blood"/> </coding> <text value="Urea nitrogen [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <display value="Katja Mäkelä"/> </subject> <effectiveDateTime value="2017-01-25T08:59:15Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="15.8"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/> </specimen> <referenceRange> <low> <value value="7"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="20"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:04008379-6548-4a3c-9f08-daf846031e45"/> <resource> <Observation> <id value="04008379-6548-4a3c-9f08-daf846031e45"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>25-Jan-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td>1.1</td> <td>0.6 - 1.3</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="38483-4"/> <display value="Creatinine [Mass/volume] in Blood"/> </coding> <text value="Creatinine [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <display value="Katja Mäkelä"/> </subject> <effectiveDateTime value="2017-01-25T08:59:15Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="1.1"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/> </specimen> <referenceRange> <low> <value value="0.6"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="1.3"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:09b7cd32-513b-4902-9030-e1935e143f53"/> <resource> <Observation> <id value="09b7cd32-513b-4902-9030-e1935e143f53"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>25-Jan-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>9.9</td> <td>8.6 - 10.3</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="49765-1"/> <display value="Calcium [Mass/volume] in Blood"/> </coding> <text value="Calcium [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <display value="Katja Mäkelä"/> </subject> <effectiveDateTime value="2017-01-25T08:59:15Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="9.9"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/> </specimen> <referenceRange> <low> <value value="8.6"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="10.3"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:08c36924-ad6f-4def-86ef-8533c486fdce"/> <resource> <Observation> <id value="08c36924-ad6f-4def-86ef-8533c486fdce"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>25-Jan-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>144.0</td> <td>135 - 145</td> <td/> <td>mmol/L</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="2947-0"/> <display value="Sodium [Moles/volume] in Blood"/> </coding> <text value="Sodium [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <display value="Katja Mäkelä"/> </subject> <effectiveDateTime value="2017-01-25T08:59:15Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="144"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/> </specimen> <referenceRange> <low> <value value="135"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="145"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:3adafc66-410a-4155-8394-4efe77e6da29"/> <resource> <Observation> <id value="3adafc66-410a-4155-8394-4efe77e6da29"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>25-Jan-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>4.7</td> <td>3.5 - 5.1</td> <td/> <td>mmol/L</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="6298-4"/> <display value="Potassium [Moles/volume] in Blood"/> </coding> <text value="Potassium [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <display value="Katja Mäkelä"/> </subject> <effectiveDateTime value="2017-01-25T08:59:15Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="4.7"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/> </specimen> <referenceRange> <low> <value value="3.5"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="5.1"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:3ffdfbe3-7b91-41ce-9d16-d09db0670da2"/> <resource> <Observation> <id value="3ffdfbe3-7b91-41ce-9d16-d09db0670da2"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>25-Jan-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td>104.2</td> <td>98 - 110</td> <td/> <td>mmol/L</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="2069-3"/> <display value="Chloride [Moles/volume] in Blood"/> </coding> <text value="Chloride [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <display value="Katja Mäkelä"/> </subject> <effectiveDateTime value="2017-01-25T08:59:15Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="104.2"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/> </specimen> <referenceRange> <low> <value value="98"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="110"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:eb83a1b6-4f94-4f29-82f3-3fe3a0e0b547"/> <resource> <Observation> <id value="eb83a1b6-4f94-4f29-82f3-3fe3a0e0b547"/> <meta> <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>25-Jan-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>22.4</td> <td>22 - 29</td> <td/> <td>mmol/L</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="20565-8"/> <display value="Carbon dioxide, total [Moles/volume] in Blood"/> </coding> <text value="Carbon dioxide, total [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> <display value="Katja Mäkelä"/> </subject> <effectiveDateTime value="2017-01-25T08:59:15Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="22.4"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/> </specimen> <referenceRange> <low> <value value="22"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="29"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:35b32655-26b1-4baf-8094-0120b0f4d49b"/> <resource> <Device> <id value="35b32655-26b1-4baf-8094-0120b0f4d49b"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">SYNDERAI Synthetic Generator v5.0</div> </text> <status value="active"/> <distinctIdentifier value="synderai-generator-50"/> <manufacturer value="SYNDERAI Project"/> <deviceName> <name value="SYNDERAI Synthetic Generator"/> <type value="manufacturer-name"/> </deviceName> <version> <value value="5.0"/> </version> </Device> </resource> </entry> <entry> <fullUrl value="urn:uuid:43469f2e-3485-42f5-a8f4-0620f4e079b4"/> <resource> <Provenance> <id value="43469f2e-3485-42f5-a8f4-0620f4e079b4"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div> </text> <target> <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/> </target> <target> <reference value="urn:uuid:0ade1c3f-bfc3-4a34-8cbc-55ab9b3e3225"/> </target> <target> <reference value="urn:uuid:71b842e8-b735-4cd8-9837-823bb618cf88"/> </target> <target> <reference value="urn:uuid:01cd04e3-619f-47e4-a4ff-b2a2aba24465"/> </target> <target> <reference value="urn:uuid:11cd738d-66b9-4e2f-aa6f-9f8ad0f34ac7"/> </target> <target> <reference value="urn:uuid:c7d1fd62-a65c-4964-aaf9-49ff434d03de"/> </target> <recorded value="2017-01-25T09:59:15Z"/> <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> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/> <code value="author"/> <display value="Author"/> </coding> <text value="author"/> </type> <who> <reference value="urn:uuid:35b32655-26b1-4baf-8094-0120b0f4d49b"/> </who> </agent> </Provenance> </resource> </entry> <entry> <fullUrl value="urn:uuid:71b842e8-b735-4cd8-9837-823bb618cf88"/> <resource> <PractitionerRole> <id value="71b842e8-b735-4cd8-9837-823bb618cf88"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Laboratory Role Id: 71b842e8-b735-4cd8-9837-823bb618cf88</div> </text> <practitioner> <reference value="urn:uuid:01cd04e3-619f-47e4-a4ff-b2a2aba24465"/> </practitioner> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:01cd04e3-619f-47e4-a4ff-b2a2aba24465"/> <resource> <Practitioner> <id value="01cd04e3-619f-47e4-a4ff-b2a2aba24465"/> <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="184176f5-ca3b-4e4e-b511-7fa2096aff3b"/> <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>

intentionally left empty / not meaningful


            
               
                  
                  
                  
               
            
            
               
               
            
            
            
               
            
            
            <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"/>
               </code>
               <section>
                  <title value="Chemistry"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
                     </coding>
                     <text value="Chemistry"/>
                  </code>
                  <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>25-JAN-2017</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>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>86.5</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>15.8</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>1.1</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>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>144.0</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.7</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>104.2</td>
                                 <td>98 - 110</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>22.4</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
                  <entry>
                     <reference value="urn:uuid:993aa611-5c1c-4f14-9f76-f5f496325e82"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:10b6cc02-c3f2-4524-8e67-895451be5769"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:fbfb730f-627f-4728-a904-3ac16a9d1665"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:04008379-6548-4a3c-9f08-daf846031e45"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:09b7cd32-513b-4902-9030-e1935e143f53"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:08c36924-ad6f-4def-86ef-8533c486fdce"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:3adafc66-410a-4155-8394-4efe77e6da29"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:3ffdfbe3-7b91-41ce-9d16-d09db0670da2"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:eb83a1b6-4f94-4f29-82f3-3fe3a0e0b547"/>
                  </entry>
               </section>
            </section>
            <section>
               <title value="Annotation comment"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="48767-8"/>
                     <display value="Annotation comment [Interpretation] Narrative"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <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 laboratory values are within normal limits except for a mildly elevated HbA1c (6.3%), indicating impaired glucose metabolism or possible prediabetes/early diabetes. Renal function, electrolytes, and other parameters are normal. Recommend clinical correlation and consideration of further evaluation or management of glycemic control.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:6734f1ab-8bd7-4f9e-82da-c2233f1395e4"/>
      <resource>
         <DiagnosticReport>
            <id value="6734f1ab-8bd7-4f9e-82da-c2233f1395e4"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"/>
            </meta>
            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
            </text>
            <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition">
               <valueReference>
                  <reference value="urn:uuid:0ade1c3f-bfc3-4a34-8cbc-55ab9b3e3225"/>
               </valueReference>
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            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="fb576529-8c69-4ad9-b5af-25ec2f9d91a8"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="39c3ed21-9e5a-4f9e-bc33-b48b7939eff2"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <status value="registered"/>
            <category>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="11502-2"/>
                  <display value="Laboratory report"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/>
               <display value="Katja Mäkelä"/>
            </subject>
            <specimen>
               <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/>
            </specimen>
            <result>
               <reference value="urn:uuid:993aa611-5c1c-4f14-9f76-f5f496325e82"/>
            </result>
            <result>
               <reference value="urn:uuid:10b6cc02-c3f2-4524-8e67-895451be5769"/>
            </result>
            <result>
               <reference value="urn:uuid:fbfb730f-627f-4728-a904-3ac16a9d1665"/>
            </result>
            <result>
               <reference value="urn:uuid:04008379-6548-4a3c-9f08-daf846031e45"/>
            </result>
            <result>
               <reference value="urn:uuid:09b7cd32-513b-4902-9030-e1935e143f53"/>
            </result>
            <result>
               <reference value="urn:uuid:08c36924-ad6f-4def-86ef-8533c486fdce"/>
            </result>
            <result>
               <reference value="urn:uuid:3adafc66-410a-4155-8394-4efe77e6da29"/>
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            <result>
               <reference value="urn:uuid:3ffdfbe3-7b91-41ce-9d16-d09db0670da2"/>
            </result>
            <result>
               <reference value="urn:uuid:eb83a1b6-4f94-4f29-82f3-3fe3a0e0b547"/>
            </result>
         </DiagnosticReport>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/>
      <resource>
         <Patient>
            <id value="8b54d827-afbd-4ba9-b126-ce969f23cd16"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
               </security>
               <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>Katja Mäkelä</td>
                        <td>female</td>
                        <td>28-Nov-1954</td>
                     </tr>
                  </table>
               </div>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
                  <valueCodeableConcept>
                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="FI"/>
                     </coding>
                  </valueCodeableConcept>
               </extension>
            </extension>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
                  </coding>
               </type>
               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="6615-747498-3"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
                  </coding>
               </type>
               <system value="http://local.setting.eu/identifier"/>
               <value value="e7570594-685d-7400-6db7-a18cbeb46b95"/>
            </identifier>
            <name>
               <text value="Katja Mäkelä"/>
               <family value="Mäkelä"/>
               <given value="Katja"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="(+358) 606162265"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1954-11-28"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Uudenkaupunginkuja 53"/>
               <city value="Saarijärvi"/>
               <postalCode value="43100"/>
               <country value="Finland"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:079b065a-0d86-4924-b27c-55311ef5a2b3"/>
      <resource>
         <ServiceRequest>
            <id value="079b065a-0d86-4924-b27c-55311ef5a2b3"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/>
            </meta>
            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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               <system value="http://example.org"/>
               <value value="4e7d8c0c-8504-4053-9e9e-925e20e37528"/>
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            <status value="active"/>
            <intent value="order"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            </code>
            <subject>
               <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/>
               <display value="Katja Mäkelä"/>
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            <requester>
               <reference value="urn:uuid:11cd738d-66b9-4e2f-aa6f-9f8ad0f34ac7"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="401303003"/>
                  <display value="Acute ST segment elevation myocardial infarction"/>
               </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="59621000"/>
                  <display value="Essential hypertension"/>
               </coding>
            </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"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="185086009"/>
                  <display value="Emphysematous bronchitis"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/>
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         </ServiceRequest>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:11cd738d-66b9-4e2f-aa6f-9f8ad0f34ac7"/>
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         <PractitionerRole>
            <id value="11cd738d-66b9-4e2f-aa6f-9f8ad0f34ac7"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 11cd738d-66b9-4e2f-aa6f-9f8ad0f34ac7</div>
            </text>
            <organization>
               <reference value="urn:uuid:c7d1fd62-a65c-4964-aaf9-49ff434d03de"/>
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         </PractitionerRole>
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   <entry>
      <fullUrl value="urn:uuid:c7d1fd62-a65c-4964-aaf9-49ff434d03de"/>
      <resource>
         <Organization>
            <id value="c7d1fd62-a65c-4964-aaf9-49ff434d03de"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Vesannon terveyskeskus</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="00686e30-5ae6-4984-84a0-26e2f161782d"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Vesannon terveyskeskus"/>
            <address>
               <line value="Terveystie"/>
               <country value="Finland"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/>
      <resource>
         <Specimen>
            <id value="346ff1a3-82af-4710-894d-bc21881c154f"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <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">25-Jan-2017</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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            </type>
            <collection>
               <collectedDateTime value="2017-01-25"/>
            </collection>
         </Specimen>
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   <entry>
      <fullUrl value="urn:uuid:993aa611-5c1c-4f14-9f76-f5f496325e82"/>
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         <Observation>
            <id value="993aa611-5c1c-4f14-9f76-f5f496325e82"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>25-Jan-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>6.3</td>
                        <td>4.8 - 5.9</td>
                        <td>H</td>
                        <td>%</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="4548-4"/>
                  <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
               </coding>
               <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/>
               <display value="Katja Mäkelä"/>
            </subject>
            <effectiveDateTime value="2017-01-25T08:59:15Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="6.3"/>
               <unit value="%"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="%"/>
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            <interpretation>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
                  <code value="H"/>
                  <display value="High"/>
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            <specimen>
               <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/>
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            <referenceRange>
               <low>
                  <value value="4.8"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="%"/>
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               <high>
                  <value value="5.9"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="%"/>
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         </Observation>
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   <entry>
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         <Observation>
            <id value="10b6cc02-c3f2-4524-8e67-895451be5769"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>25-Jan-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>86.5</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2339-0"/>
                  <display value="Glucose [Mass/volume] in Blood"/>
               </coding>
               <text value="Glucose [Mass/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/>
               <display value="Katja Mäkelä"/>
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            <effectiveDateTime value="2017-01-25T08:59:15Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="86.5"/>
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               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
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            <specimen>
               <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/>
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            <referenceRange>
               <low>
                  <value value="70"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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               <high>
                  <value value="100"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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         </Observation>
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   <entry>
      <fullUrl value="urn:uuid:fbfb730f-627f-4728-a904-3ac16a9d1665"/>
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         <Observation>
            <id value="fbfb730f-627f-4728-a904-3ac16a9d1665"/>
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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>25-Jan-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>15.8</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6299-2"/>
                  <display value="Urea nitrogen [Mass/volume] in Blood"/>
               </coding>
               <text value="Urea nitrogen [Mass/volume] in Blood"/>
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            <subject>
               <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/>
               <display value="Katja Mäkelä"/>
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            <effectiveDateTime value="2017-01-25T08:59:15Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="15.8"/>
               <unit value="mg/dL"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
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            <specimen>
               <reference value="urn:uuid:346ff1a3-82af-4710-894d-bc21881c154f"/>
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            <referenceRange>
               <low>
                  <value value="7"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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               <high>
                  <value value="20"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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   <entry>
      <fullUrl value="urn:uuid:04008379-6548-4a3c-9f08-daf846031e45"/>
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         <Observation>
            <id value="04008379-6548-4a3c-9f08-daf846031e45"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>25-Jan-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>1.1</td>
                        <td>0.6 - 1.3</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <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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            <subject>
               <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/>
               <display value="Katja Mäkelä"/>
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            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="1.1"/>
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               <code value="mg/dL"/>
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                  <value value="1.3"/>
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   <entry>
      <fullUrl value="urn:uuid:09b7cd32-513b-4902-9030-e1935e143f53"/>
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         <Observation>
            <id value="09b7cd32-513b-4902-9030-e1935e143f53"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"/>
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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>25-Jan-2017</th>
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                     <tr>
                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>9.9</td>
                        <td>8.6 - 10.3</td>
                        <td/>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="49765-1"/>
                  <display value="Calcium [Mass/volume] in Blood"/>
               </coding>
               <text value="Calcium [Mass/volume] in Blood"/>
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            <subject>
               <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/>
               <display value="Katja Mäkelä"/>
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               <display value="The Central European Lab"/>
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            <valueQuantity>
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               <code value="mg/dL"/>
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                  <value value="10.3"/>
                  <system value="http://unitsofmeasure.org"/>
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   <entry>
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         <Observation>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>25-Jan-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>144.0</td>
                        <td>135 - 145</td>
                        <td/>
                        <td>mmol/L</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2947-0"/>
                  <display value="Sodium [Moles/volume] in Blood"/>
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               <text value="Sodium [Moles/volume] in Blood"/>
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            <subject>
               <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/>
               <display value="Katja Mäkelä"/>
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               <display value="The Central European Lab"/>
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            <valueQuantity>
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               <code value="mmol/L"/>
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               <low>
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               <high>
                  <value value="145"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
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   <entry>
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         <Observation>
            <id value="3adafc66-410a-4155-8394-4efe77e6da29"/>
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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>25-Jan-2017</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.7</td>
                        <td>3.5 - 5.1</td>
                        <td/>
                        <td>mmol/L</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6298-4"/>
                  <display value="Potassium [Moles/volume] in Blood"/>
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               <text value="Potassium [Moles/volume] in Blood"/>
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            <subject>
               <reference value="urn:uuid:8b54d827-afbd-4ba9-b126-ce969f23cd16"/>
               <display value="Katja Mäkelä"/>
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            <effectiveDateTime value="2017-01-25T08:59:15Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="4.7"/>
               <unit value="mmol/L"/>
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               <code value="mmol/L"/>
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            <specimen>
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            <referenceRange>
               <low>
                  <value value="3.5"/>
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               <high>
                  <value value="5.1"/>
                  <system value="http://unitsofmeasure.org"/>
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   <entry>
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         <Observation>
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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>25-Jan-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>104.2</td>
                        <td>98 - 110</td>
                        <td/>
                        <td>mmol/L</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2069-3"/>
                  <display value="Chloride [Moles/volume] in Blood"/>
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