<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>22-AUG-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td> <strong>6.1 H</strong> </td> <td>4.8 - 5.9</td> <td>%</td> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>99.0</td> <td>70 - 100</td> <td>mg/dL</td> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>8.4</td> <td>7 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td>1.0</td> <td>0.5 - 1.1</td> <td>mg/dL</td> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>9.1</td> <td>8.5 - 10.5</td> <td>mg/dL</td> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>141.1</td> <td>135 - 145</td> <td>mmol/L</td> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>4.2</td> <td>3.5 - 5.1</td> <td>mmol/L</td> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td>102.4</td> <td>98 - 110</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> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:1e23028f-1cd4-402f-9f75-d8e42fd0252d"/> </entry> <entry> <reference value="urn:uuid:c55fd724-9b56-4136-85ac-409438cdc20b"/> </entry> <entry> <reference value="urn:uuid:bd1ee94f-67e6-45b8-bcaf-b5639ce36a1b"/> </entry> <entry> <reference value="urn:uuid:01b611c2-d169-4150-966d-a72f1443316b"/> </entry> <entry> <reference value="urn:uuid:488ba932-3a54-4a93-ae85-bcfbe11794fe"/> </entry> <entry> <reference value="urn:uuid:0d37811c-b9d4-4037-98e0-89904dc3d3dc"/> </entry> <entry> <reference value="urn:uuid:36f7b637-84a8-4738-a862-b8d5d765ecf5"/> </entry> <entry> <reference value="urn:uuid:f5f11907-e63c-46e5-a18b-03287d46787f"/> </entry> <entry> <reference value="urn:uuid:41017204-e477-43ab-b349-dc0d52181efc"/> </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>The patient shows a mildly elevated HbA1c (6.1%), indicating impaired glucose regulation or possible early diabetes. All other parameters, including renal function and electrolytes, are within normal limits except for a slightly low total CO₂ (21.7 mmol/L), which may suggest mild metabolic acidosis or compensation. Recommend clinical correlation and follow-up of glycemic status.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:a0ea3a6d-aab4-4e04-bdd8-381d82a25236"/> <resource> <DiagnosticReport> <id value="a0ea3a6d-aab4-4e04-bdd8-381d82a25236"/> <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:a5dcbf01-bf6f-4daa-8916-ffffd519d579"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="68711efb-af3d-4baa-837e-f2cc1886713a"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="6de10b96-50f1-41b6-8f1d-78031eff4c21"/> <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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <display value="Alexandria Julien"/> </subject> <specimen> <reference value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> </specimen> <result> <reference value="urn:uuid:1e23028f-1cd4-402f-9f75-d8e42fd0252d"/> </result> <result> <reference value="urn:uuid:c55fd724-9b56-4136-85ac-409438cdc20b"/> </result> <result> <reference value="urn:uuid:bd1ee94f-67e6-45b8-bcaf-b5639ce36a1b"/> </result> <result> <reference value="urn:uuid:01b611c2-d169-4150-966d-a72f1443316b"/> </result> <result> <reference value="urn:uuid:488ba932-3a54-4a93-ae85-bcfbe11794fe"/> </result> <result> <reference value="urn:uuid:0d37811c-b9d4-4037-98e0-89904dc3d3dc"/> </result> <result> <reference value="urn:uuid:36f7b637-84a8-4738-a862-b8d5d765ecf5"/> </result> <result> <reference value="urn:uuid:f5f11907-e63c-46e5-a18b-03287d46787f"/> </result> <result> <reference value="urn:uuid:41017204-e477-43ab-b349-dc0d52181efc"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <resource> <Patient> <id value="dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <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>Alexandria Julien</td> <td>female</td> <td>22-Mar-1959</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="FR"/> </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="1074-205969-3"/> </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="31b22bcf-cd4f-fdee-7d3b-9b5ae44266b0"/> </identifier> <name> <text value="Alexandria Julien"/> <family value="Julien"/> <given value="Alexandria"/> </name> <telecom> <system value="phone"/> <value value="+33 (0)1 46 99 14 09"/> </telecom> <gender value="female"/> <birthDate value="1959-03-22"/> <address> <use value="home"/> <type value="physical"/> <line value="253, rue de Clément"/> <city value="Sainte Catherine"/> <postalCode value="69590"/> <country value="France"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:e5981882-c4d4-4ad2-9576-8d5416ed0c5e"/> <resource> <ServiceRequest> <id value="e5981882-c4d4-4ad2-9576-8d5416ed0c5e"/> <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="890216a1-a8c0-4f1f-be2f-966a148205a4"/> </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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <display value="Alexandria Julien"/> </subject> <requester> <reference value="urn:uuid:08cb36c9-d7f1-46f1-a95b-c4213614a96e"/> </requester> <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="237602007"/> <display value="Metabolic syndrome X"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="414545008"/> <display value="Ischemic heart disease"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="40055000"/> <display value="Chronic sinusitis"/> </coding> </reasonCode> <specimen> <reference value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> </specimen> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:08cb36c9-d7f1-46f1-a95b-c4213614a96e"/> <resource> <PractitionerRole> <id value="08cb36c9-d7f1-46f1-a95b-c4213614a96e"/> <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: 08cb36c9-d7f1-46f1-a95b-c4213614a96e</div> </text> <organization> <reference value="urn:uuid:8e7820ea-d49d-4e94-bf32-1cb0f0d037c0"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:8e7820ea-d49d-4e94-bf32-1cb0f0d037c0"/> <resource> <Organization> <id value="8e7820ea-d49d-4e94-bf32-1cb0f0d037c0"/> <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: Centre Médical et Pédagogique Jacques Arnaud</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="14f6c3e5-66d2-4754-b56d-24b0d4668956"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Centre Médical et Pédagogique Jacques Arnaud"/> <address> <line value="Rue Pasteur 5"/> <country value="France"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> <resource> <Specimen> <id value="81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> <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">22-Aug-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="2017-08-22"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:1e23028f-1cd4-402f-9f75-d8e42fd0252d"/> <resource> <Observation> <id value="1e23028f-1cd4-402f-9f75-d8e42fd0252d"/> <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>22-Aug-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td>6.1</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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <display value="Alexandria Julien"/> </subject> <effectiveDateTime value="2017-08-22T04:37:29Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="6.1"/> <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:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> </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:c55fd724-9b56-4136-85ac-409438cdc20b"/> <resource> <Observation> <id value="c55fd724-9b56-4136-85ac-409438cdc20b"/> <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>22-Aug-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>99.0</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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <display value="Alexandria Julien"/> </subject> <effectiveDateTime value="2017-08-22T04:37:29Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="99"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> </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:bd1ee94f-67e6-45b8-bcaf-b5639ce36a1b"/> <resource> <Observation> <id value="bd1ee94f-67e6-45b8-bcaf-b5639ce36a1b"/> <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>22-Aug-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>8.4</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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <display value="Alexandria Julien"/> </subject> <effectiveDateTime value="2017-08-22T04:37:29Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="8.4"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> </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:01b611c2-d169-4150-966d-a72f1443316b"/> <resource> <Observation> <id value="01b611c2-d169-4150-966d-a72f1443316b"/> <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>22-Aug-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td>1.0</td> <td>0.5 - 1.1</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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <display value="Alexandria Julien"/> </subject> <effectiveDateTime value="2017-08-22T04:37:29Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="1"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> </specimen> <referenceRange> <low> <value value="0.5"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="1.1"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:488ba932-3a54-4a93-ae85-bcfbe11794fe"/> <resource> <Observation> <id value="488ba932-3a54-4a93-ae85-bcfbe11794fe"/> <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>22-Aug-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>9.1</td> <td>8.5 - 10.5</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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <display value="Alexandria Julien"/> </subject> <effectiveDateTime value="2017-08-22T04:37:29Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="9.1"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> </specimen> <referenceRange> <low> <value value="8.5"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="10.5"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:0d37811c-b9d4-4037-98e0-89904dc3d3dc"/> <resource> <Observation> <id value="0d37811c-b9d4-4037-98e0-89904dc3d3dc"/> <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>22-Aug-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>141.1</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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <display value="Alexandria Julien"/> </subject> <effectiveDateTime value="2017-08-22T04:37:29Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="141.1"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> </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:36f7b637-84a8-4738-a862-b8d5d765ecf5"/> <resource> <Observation> <id value="36f7b637-84a8-4738-a862-b8d5d765ecf5"/> <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>22-Aug-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>4.2</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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <display value="Alexandria Julien"/> </subject> <effectiveDateTime value="2017-08-22T04:37:29Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="4.2"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> </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:f5f11907-e63c-46e5-a18b-03287d46787f"/> <resource> <Observation> <id value="f5f11907-e63c-46e5-a18b-03287d46787f"/> <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>22-Aug-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td>102.4</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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <display value="Alexandria Julien"/> </subject> <effectiveDateTime value="2017-08-22T04:37:29Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="102.4"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> </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:41017204-e477-43ab-b349-dc0d52181efc"/> <resource> <Observation> <id value="41017204-e477-43ab-b349-dc0d52181efc"/> <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>22-Aug-2017</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>21.7</td> <td>22 - 29</td> <td>L</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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> <display value="Alexandria Julien"/> </subject> <effectiveDateTime value="2017-08-22T04:37:29Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="21.7"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> <code value="L"/> <display value="Low"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/> </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:093c2a5f-5a33-43de-bd2f-8b4ebbe858c4"/> <resource> <Device> <id value="093c2a5f-5a33-43de-bd2f-8b4ebbe858c4"/> <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:52fccc98-fd7d-41d8-93e4-2077257ef620"/> <resource> <Provenance> <id value="52fccc98-fd7d-41d8-93e4-2077257ef620"/> <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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/> </target> <target> <reference value="urn:uuid:a5dcbf01-bf6f-4daa-8916-ffffd519d579"/> </target> <target> <reference value="urn:uuid:ed2f5e14-3922-4ff5-8098-ef410f1578e4"/> </target> <target> <reference value="urn:uuid:b404f212-cad4-4a4c-ac36-99bcdb46fad0"/> </target> <target> <reference value="urn:uuid:08cb36c9-d7f1-46f1-a95b-c4213614a96e"/> </target> <target> <reference value="urn:uuid:8e7820ea-d49d-4e94-bf32-1cb0f0d037c0"/> </target> <recorded value="2017-08-22T06:37:29Z"/> <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:093c2a5f-5a33-43de-bd2f-8b4ebbe858c4"/> </who> </agent> </Provenance> </resource> </entry> <entry> <fullUrl value="urn:uuid:ed2f5e14-3922-4ff5-8098-ef410f1578e4"/> <resource> <PractitionerRole> <id value="ed2f5e14-3922-4ff5-8098-ef410f1578e4"/> <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: ed2f5e14-3922-4ff5-8098-ef410f1578e4</div> </text> <practitioner> <reference value="urn:uuid:b404f212-cad4-4a4c-ac36-99bcdb46fad0"/> </practitioner> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:b404f212-cad4-4a4c-ac36-99bcdb46fad0"/> <resource> <Practitioner> <id value="b404f212-cad4-4a4c-ac36-99bcdb46fad0"/> <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="2d457f0b-bdff-4e7a-8253-34cfa1544a50"/> <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>22-AUG-2017</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.1 H</strong>
                                 </td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>99.0</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>8.4</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>1.0</td>
                                 <td>0.5 - 1.1</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.1</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>141.1</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.2</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>102.4</td>
                                 <td>98 - 110</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>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
                  <entry>
                     <reference value="urn:uuid:1e23028f-1cd4-402f-9f75-d8e42fd0252d"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:c55fd724-9b56-4136-85ac-409438cdc20b"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:bd1ee94f-67e6-45b8-bcaf-b5639ce36a1b"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:01b611c2-d169-4150-966d-a72f1443316b"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:488ba932-3a54-4a93-ae85-bcfbe11794fe"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:0d37811c-b9d4-4037-98e0-89904dc3d3dc"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:36f7b637-84a8-4738-a862-b8d5d765ecf5"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:f5f11907-e63c-46e5-a18b-03287d46787f"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:41017204-e477-43ab-b349-dc0d52181efc"/>
                  </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>The patient shows a mildly elevated HbA1c (6.1%), indicating impaired glucose regulation or possible early diabetes. All other parameters, including renal function and electrolytes, are within normal limits except for a slightly low total CO₂ (21.7 mmol/L), which may suggest mild metabolic acidosis or compensation. Recommend clinical correlation and follow-up of glycemic status.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:a0ea3a6d-aab4-4e04-bdd8-381d82a25236"/>
      <resource>
         <DiagnosticReport>
            <id value="a0ea3a6d-aab4-4e04-bdd8-381d82a25236"/>
            <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:a5dcbf01-bf6f-4daa-8916-ffffd519d579"/>
               </valueReference>
            </extension>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="68711efb-af3d-4baa-837e-f2cc1886713a"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="6de10b96-50f1-41b6-8f1d-78031eff4c21"/>
               <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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/>
               <display value="Alexandria Julien"/>
            </subject>
            <specimen>
               <reference value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/>
            </specimen>
            <result>
               <reference value="urn:uuid:1e23028f-1cd4-402f-9f75-d8e42fd0252d"/>
            </result>
            <result>
               <reference value="urn:uuid:c55fd724-9b56-4136-85ac-409438cdc20b"/>
            </result>
            <result>
               <reference value="urn:uuid:bd1ee94f-67e6-45b8-bcaf-b5639ce36a1b"/>
            </result>
            <result>
               <reference value="urn:uuid:01b611c2-d169-4150-966d-a72f1443316b"/>
            </result>
            <result>
               <reference value="urn:uuid:488ba932-3a54-4a93-ae85-bcfbe11794fe"/>
            </result>
            <result>
               <reference value="urn:uuid:0d37811c-b9d4-4037-98e0-89904dc3d3dc"/>
            </result>
            <result>
               <reference value="urn:uuid:36f7b637-84a8-4738-a862-b8d5d765ecf5"/>
            </result>
            <result>
               <reference value="urn:uuid:f5f11907-e63c-46e5-a18b-03287d46787f"/>
            </result>
            <result>
               <reference value="urn:uuid:41017204-e477-43ab-b349-dc0d52181efc"/>
            </result>
         </DiagnosticReport>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:dc8462e2-3d1e-4fe3-badb-f238164838e5"/>
      <resource>
         <Patient>
            <id value="dc8462e2-3d1e-4fe3-badb-f238164838e5"/>
            <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>Alexandria Julien</td>
                        <td>female</td>
                        <td>22-Mar-1959</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="FR"/>
                     </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="1074-205969-3"/>
            </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="31b22bcf-cd4f-fdee-7d3b-9b5ae44266b0"/>
            </identifier>
            <name>
               <text value="Alexandria Julien"/>
               <family value="Julien"/>
               <given value="Alexandria"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+33 (0)1 46 99 14 09"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1959-03-22"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="253, rue de Clément"/>
               <city value="Sainte Catherine"/>
               <postalCode value="69590"/>
               <country value="France"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e5981882-c4d4-4ad2-9576-8d5416ed0c5e"/>
      <resource>
         <ServiceRequest>
            <id value="e5981882-c4d4-4ad2-9576-8d5416ed0c5e"/>
            <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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               <value value="890216a1-a8c0-4f1f-be2f-966a148205a4"/>
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            <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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/>
               <display value="Alexandria Julien"/>
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            <requester>
               <reference value="urn:uuid:08cb36c9-d7f1-46f1-a95b-c4213614a96e"/>
            </requester>
            <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="237602007"/>
                  <display value="Metabolic syndrome X"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/>
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         </ServiceRequest>
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   <entry>
      <fullUrl value="urn:uuid:08cb36c9-d7f1-46f1-a95b-c4213614a96e"/>
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         <PractitionerRole>
            <id value="08cb36c9-d7f1-46f1-a95b-c4213614a96e"/>
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               <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: 08cb36c9-d7f1-46f1-a95b-c4213614a96e</div>
            </text>
            <organization>
               <reference value="urn:uuid:8e7820ea-d49d-4e94-bf32-1cb0f0d037c0"/>
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   <entry>
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         <Organization>
            <id value="8e7820ea-d49d-4e94-bf32-1cb0f0d037c0"/>
            <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: Centre Médical et Pédagogique Jacques Arnaud</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="14f6c3e5-66d2-4754-b56d-24b0d4668956"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Centre Médical et Pédagogique Jacques Arnaud"/>
            <address>
               <line value="Rue Pasteur 5"/>
               <country value="France"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/>
      <resource>
         <Specimen>
            <id value="81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/>
            <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">22-Aug-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="2017-08-22"/>
            </collection>
         </Specimen>
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   <entry>
      <fullUrl value="urn:uuid:1e23028f-1cd4-402f-9f75-d8e42fd0252d"/>
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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>22-Aug-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>6.1</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:dc8462e2-3d1e-4fe3-badb-f238164838e5"/>
               <display value="Alexandria Julien"/>
            </subject>
            <effectiveDateTime value="2017-08-22T04:37:29Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
               <value value="6.1"/>
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               <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:81fb1c61-60bd-4d44-ae4a-19e99a9848ce"/>
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               <low>
                  <value value="4.8"/>
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                  <code value="%"/>
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                  <value value="5.9"/>
                  <system value="http://unitsofmeasure.org"/>
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         </Observation>
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            <id value="c55fd724-9b56-4136-85ac-409438cdc20b"/>
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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>22-Aug-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>99.0</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </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="2339-0"/>
                  <display value="Glucose [Mass/volume] in Blood"/>
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               <text value="Glucose [Mass/volume] in Blood"/>
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            <subject>
               <reference value="urn:uuid:dc8462e2-3d1e-4fe3-badb-f238164838e5"/>
               <display value="Alexandria Julien"/>
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               <display value="The Central European Lab"/>
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               <code value="mg/dL"/>
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                  <system value="http://unitsofmeasure.org"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Test</th>
                        <th>22-Aug-2017</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>8.4</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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            </text>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6299-2"/>
                  <display value="Urea nitrogen [Mass/volume] in Blood"/>
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               <text value="Urea nitrogen [Mass/volume] in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:dc8462e2-3d1e-4fe3-badb-f238164838e5"/>
               <display value="Alexandria Julien"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
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                        <th>Unit</th>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>1.0</td>
                        <td>0.5 - 1.1</td>
                        <td/>
                        <td>mg/dL</td>
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               <text value="Creatinine [Mass/volume] in Blood"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>22-Aug-2017</th>
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                     <tr>
                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>9.1</td>
                        <td>8.5 - 10.5</td>
                        <td/>
                        <td>mg/dL</td>
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               </div>
            </text>
            <status value="final"/>
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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>
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                  <system value="http://unitsofmeasure.org"/>
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            <text>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>22-Aug-2017</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>141.1</td>
                        <td>135 - 145</td>
                        <td/>
                        <td>mmol/L</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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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>
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                  <system value="http://unitsofmeasure.org"/>
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   <entry>
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                  <table class="hl7__eu__lab__report">
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                        <th>22-Aug-2017</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.2</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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            <code>
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                  <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>
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               <display value="Alexandria Julien"/>
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            <effectiveDateTime value="2017-08-22T04:37:29Z"/>
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            <valueQuantity>
               <value value="4.2"/>
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               <high>
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                  <system value="http://unitsofmeasure.org"/>
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   <entry>
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                  <table class="hl7__eu__lab__report">
                     <tr>
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                        <th>22-Aug-2017</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>102.4</td>
                        <td>98 - 110</td>
                        <td/>
                        <td>mmol/L</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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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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               <text value="Chloride [Moles/volume] in Blood"/>
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                        <th>22-Aug-2017</th>
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                     <tr>
                        <td>Carbon dioxide, total [Moles/volume] in Blood</td>
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                  <code value="CREATE"/>
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               <text value="Synthetic Example Data Generation"/>
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