<Bundle xmlns="http://hl7.org/fhir">
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   </identifier>
   <type value="document"/>
   <timestamp value="2016-06-17T07:03:49Z"/>
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            <status value="final"/>
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                  <system value="http://loinc.org"/>
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               <text value="Laboratory Report"/>
            </type>
            <category>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
               </coding>
            </category>
            <subject>
               <reference value="urn:uuid:d5e81021-8173-472d-b971-ca6a8d948bc4"/>
               <display value="Anastasia Quesada"/>
            </subject>
            <date value="2016-06-17T07:03:49Z"/>
            <author>
               <reference value="urn:uuid:a6daa9ab-cd43-4944-9f65-228519a804cd"/>
            </author>
            <title value="Laboratory Report"/>
            <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"/>
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               <section>
                  <title value="Chemistry"/>
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                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
                     </coding>
                     <text value="Chemistry"/>
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                  <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>17-JUN-2016</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.2 H</strong>
                                 </td>
                                 <td>4.8 - 5.9</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>87.6</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>15.9</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>0.7</td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>10.1</td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>136.4</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>3.9</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>110.2 H</strong>
                                 </td>
                                 <td>98 - 110</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>27.7</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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                  <entry>
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                  <entry>
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                  <entry>
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                  </entry>
                  <entry>
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                  <entry>
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                  <entry>
                     <reference value="urn:uuid:9cf23efb-8f8b-4bb6-ba91-70b35955c52e"/>
                  </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 mildly elevated HbA1c, indicating suboptimal long-term glycemic control and possible prediabetes or early diabetes. All other parameters, including renal function, electrolytes, and glucose, are within normal limits except for a borderline high chloride, which is likely not clinically significant in isolation. No acute laboratory abnormalities detected. Recommend monitoring glycemic status.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
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         <DiagnosticReport>
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                  <display value="HL7 Europe"/>
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            </identifier>
            <status value="registered"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
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            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="11502-2"/>
                  <display value="Laboratory report"/>
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            </code>
            <subject>
               <reference value="urn:uuid:d5e81021-8173-472d-b971-ca6a8d948bc4"/>
               <display value="Anastasia Quesada"/>
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            <specimen>
               <reference value="urn:uuid:f8660ec9-f0b9-4ff9-ad94-8d783dd44dc1"/>
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            <result>
               <reference value="urn:uuid:fbaf07f7-8db4-4944-9e7f-9ed06e234b71"/>
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            <result>
               <reference value="urn:uuid:2766e2c0-93b4-4f3e-867e-ccbe89375344"/>
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            <result>
               <reference value="urn:uuid:bf6646a4-340b-43d1-b24f-b16d4acd092d"/>
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            <result>
               <reference value="urn:uuid:468627d1-0b91-42c8-a644-2eee1d92bdf6"/>
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            <result>
               <reference value="urn:uuid:fe7e1ea8-0c34-42fb-b43e-78d0310d07a5"/>
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            <result>
               <reference value="urn:uuid:22a16021-b09b-40dd-89b8-a4d1332f54da"/>
            </result>
            <result>
               <reference value="urn:uuid:3365f208-5d83-4ddb-b48f-e8c591627202"/>
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            <result>
               <reference value="urn:uuid:5503baef-a1fb-406c-92d4-e00198d20a57"/>
            </result>
            <result>
               <reference value="urn:uuid:9cf23efb-8f8b-4bb6-ba91-70b35955c52e"/>
            </result>
         </DiagnosticReport>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:d5e81021-8173-472d-b971-ca6a8d948bc4"/>
      <resource>
         <Patient>
            <id value="d5e81021-8173-472d-b971-ca6a8d948bc4"/>
            <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>Anastasia Quesada</td>
                        <td>female</td>
                        <td>09-Apr-1955</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="ES"/>
                     </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="7881-246905-0"/>
            </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="5939fbef-7f5c-e2a5-cda5-9de01e789aad"/>
            </identifier>
            <name>
               <text value="Anastasia Quesada"/>
               <family value="Quesada"/>
               <given value="Anastasia"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+34 883123156"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1955-04-09"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Pasaje Eli Madrigal 26"/>
               <city value="La Rioja"/>
               <postalCode value="26001"/>
               <country value="Spain"/>
            </address>
         </Patient>
      </resource>
   </entry>
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         <ServiceRequest>
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            <text>
               <status value="empty"/>
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            <identifier>
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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"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:d5e81021-8173-472d-b971-ca6a8d948bc4"/>
               <display value="Anastasia Quesada"/>
            </subject>
            <requester>
               <reference value="urn:uuid:dbc10124-c024-455c-a4ef-7b05fa4548ba"/>
            </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="64859006"/>
                  <display value="Osteoporosis"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="239872002"/>
                  <display value="Osteoarthritis of hip"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:f8660ec9-f0b9-4ff9-ad94-8d783dd44dc1"/>
            </specimen>
         </ServiceRequest>
      </resource>
   </entry>
   <entry>
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      <resource>
         <PractitionerRole>
            <id value="dbc10124-c024-455c-a4ef-7b05fa4548ba"/>
            <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: dbc10124-c024-455c-a4ef-7b05fa4548ba</div>
            </text>
            <organization>
               <reference value="urn:uuid:fd189681-417a-4468-a8b0-beeaa325f0b8"/>
            </organization>
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            <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: Consultorio Médico</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="17d18aed-1272-437e-b6dd-e1e4ddfb6c5c"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Consultorio Médico"/>
            <address>
               <line value="Calle de los Donantes de Sangre 3"/>
               <city value="Lardero"/>
               <postalCode value="26140"/>
               <country value="Spain"/>
            </address>
         </Organization>
      </resource>
   </entry>
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            <text>
               <status value="generated"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">17-Jun-2016</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="2016-06-17"/>
            </collection>
         </Specimen>
      </resource>
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                  <table class="hl7__eu__lab__report">
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                        <th>Test</th>
                        <th>17-Jun-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>6.2</td>
                        <td>4.8 - 5.9</td>
                        <td>H</td>
                        <td>%</td>
                     </tr>
                  </table>
               </div>
            </text>
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                  <system value="http://loinc.org"/>
                  <code value="4548-4"/>
                  <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
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               <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
            </code>
            <subject>
               <reference value="urn:uuid:d5e81021-8173-472d-b971-ca6a8d948bc4"/>
               <display value="Anastasia Quesada"/>
            </subject>
            <effectiveDateTime value="2016-06-17T05:03:49Z"/>
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               <display value="The Central European Lab"/>
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                        <th>Test</th>
                        <th>17-Jun-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>87.6</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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               <text value="Glucose [Mass/volume] in Blood"/>
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            <effectiveDateTime value="2016-06-17T05:03:49Z"/>
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                  <value value="70"/>
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                  <value value="100"/>
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                     <tr>
                        <th>Test</th>
                        <th>17-Jun-2016</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>15.9</td>
                        <td>7 - 20</td>
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                        <td>mg/dL</td>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6299-2"/>
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               <text value="Urea nitrogen [Mass/volume] in Blood"/>
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                        <th>17-Jun-2016</th>
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                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>0.7</td>
                        <td>0.6 - 1.3</td>
                        <td/>
                        <td>mg/dL</td>
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                  <system value="http://loinc.org"/>
                  <code value="38483-4"/>
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               <text value="Creatinine [Mass/volume] in Blood"/>
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            <id value="fe7e1ea8-0c34-42fb-b43e-78d0310d07a5"/>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>10.1</td>
                        <td>8.6 - 10.3</td>
                        <td/>
                        <td>mg/dL</td>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="49765-1"/>
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               <text value="Calcium [Mass/volume] in Blood"/>
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                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>136.4</td>
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                        <td>mmol/L</td>
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                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>3.9</td>
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                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>110.2</td>
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                  <code value="2069-3"/>
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                        <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                        <td>27.7</td>
                        <td>22 - 29</td>
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                        <td>mmol/L</td>
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                  <code value="20565-8"/>
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               <text value="Carbon dioxide, total [Moles/volume] in Blood"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div>
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            <target>
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                  <code value="CREATE"/>
                  <display value="create"/>
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                     <code value="author"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">Laboratory Role Id: a6daa9ab-cd43-4944-9f65-228519a804cd</div>
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