<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>15-SEP-2023</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td> <strong>6.0 H</strong> </td> <td>4.0 - 5.6</td> <td>%</td> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>76.0</td> <td>70 - 100</td> <td>mg/dL</td> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>16.2</td> <td>7 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td> <strong>1.3 H</strong> </td> <td>0.5 - 1.1</td> <td>mg/dL</td> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>9.4</td> <td>8.6 - 10.2</td> <td>mg/dL</td> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>140.3</td> <td>135 - 145</td> <td>mmol/L</td> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>3.9</td> <td>3.5 - 5.1</td> <td>mmol/L</td> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td> <strong>108.1 H</strong> </td> <td>98 - 107</td> <td>mmol/L</td> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>24.2</td> <td>22 - 32</td> <td>mmol/L</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:f6eee5fe-7af9-4aa5-bae6-79a026b14dd8"/> </entry> <entry> <reference value="urn:uuid:6cd48f9b-4439-4f07-804e-5c8bcbd5172e"/> </entry> <entry> <reference value="urn:uuid:433ee35f-ac19-4fdb-9cb3-5937b2354738"/> </entry> <entry> <reference value="urn:uuid:2b48066a-9486-41dc-ae93-421791b51a12"/> </entry> <entry> <reference value="urn:uuid:1d878652-3a80-45ac-b958-02ac7fe740df"/> </entry> <entry> <reference value="urn:uuid:6046f14e-8e7a-4d98-93f2-b8e8b2eb892d"/> </entry> <entry> <reference value="urn:uuid:2e7759e9-c71e-45ab-b523-413b85e95116"/> </entry> <entry> <reference value="urn:uuid:dddf35c2-f9de-4b76-86a5-356ec62d549f"/> </entry> <entry> <reference value="urn:uuid:e81fed56-cf6f-4613-9211-309fdf121711"/> </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 impaired glucose control or prediabetes. Creatinine is slightly elevated, suggesting possible reduced kidney function. Chloride is marginally high but likely not clinically significant. Other parameters are within normal limits. Recommend clinical correlation for kidney function and glycemic status, and consider follow-up testing.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:124e642a-2715-4ca7-855f-f4b8e24ea5b0"/> <resource> <DiagnosticReport> <id value="124e642a-2715-4ca7-855f-f4b8e24ea5b0"/> <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:a425910d-97ba-42e5-a7e6-3fbb969b0543"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="79218b4b-6d24-482c-9b7f-581fe67ce600"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="f0c1e87f-65c1-4dbb-90eb-7a66e96cbc7b"/> <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:8f801923-32c8-406b-9584-6eb2d4657c50"/> <display value="Herma Jacobi Jäckel"/> </subject> <specimen> <reference value="urn:uuid:b834c920-7893-42e9-9666-95415dbc2f55"/> </specimen> <result> <reference value="urn:uuid:f6eee5fe-7af9-4aa5-bae6-79a026b14dd8"/> </result> <result> <reference value="urn:uuid:6cd48f9b-4439-4f07-804e-5c8bcbd5172e"/> </result> <result> <reference value="urn:uuid:433ee35f-ac19-4fdb-9cb3-5937b2354738"/> </result> <result> <reference value="urn:uuid:2b48066a-9486-41dc-ae93-421791b51a12"/> </result> <result> <reference value="urn:uuid:1d878652-3a80-45ac-b958-02ac7fe740df"/> </result> <result> <reference value="urn:uuid:6046f14e-8e7a-4d98-93f2-b8e8b2eb892d"/> </result> <result> <reference value="urn:uuid:2e7759e9-c71e-45ab-b523-413b85e95116"/> </result> <result> <reference value="urn:uuid:dddf35c2-f9de-4b76-86a5-356ec62d549f"/> </result> <result> <reference value="urn:uuid:e81fed56-cf6f-4613-9211-309fdf121711"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:8f801923-32c8-406b-9584-6eb2d4657c50"/> <resource> <Patient> <id value="8f801923-32c8-406b-9584-6eb2d4657c50"/> <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>Herma Jacobi Jäckel</td> <td>female</td> <td>25-Sep-1973</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="DE"/> </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="6016-265554-6"/> </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="7dc8fe75-a951-3bc5-62af-c83bcd66dd04"/> </identifier> <name> <text value="Herma Jacobi Jäckel"/> <family value="Jacobi Jäckel"/> <given value="Herma"/> </name> <telecom> <system value="phone"/> <value value="+49(0)7115 390771"/> </telecom> <gender value="female"/> <birthDate value="1973-09-25"/> <address> <use value="home"/> <type value="physical"/> <line value="Jorge-Linke-Gasse 15/68"/> <city value="Mayen"/> <postalCode value="56727"/> <country value="Germany"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:eaa8202e-11d7-460c-a41b-af5988bd4483"/> <resource> <ServiceRequest> <id value="eaa8202e-11d7-460c-a41b-af5988bd4483"/> <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="190f8188-fd0e-42cc-bb10-ec671043122b"/> </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:8f801923-32c8-406b-9584-6eb2d4657c50"/> <display value="Herma Jacobi Jäckel"/> </subject> <requester> <reference value="urn:uuid:8be8b5e7-f2d6-47d4-83ff-8f20f4eddcc3"/> </requester> <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="40055000"/> <display value="Chronic sinusitis"/> </coding> </reasonCode> <specimen> <reference value="urn:uuid:b834c920-7893-42e9-9666-95415dbc2f55"/> </specimen> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:8be8b5e7-f2d6-47d4-83ff-8f20f4eddcc3"/> <resource> <PractitionerRole> <id value="8be8b5e7-f2d6-47d4-83ff-8f20f4eddcc3"/> <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: 8be8b5e7-f2d6-47d4-83ff-8f20f4eddcc3</div> </text> <organization> <reference value="urn:uuid:9bed90be-4db2-4103-aff4-4d8177d771fb"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:9bed90be-4db2-4103-aff4-4d8177d771fb"/> <resource> <Organization> <id value="9bed90be-4db2-4103-aff4-4d8177d771fb"/> <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: Facharzt für Allgemeinmedizin Johann Holbach</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="fd9494d1-ce02-4cb1-b0d6-6656321fdb8f"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Facharzt für Allgemeinmedizin Johann Holbach"/> <address> <line value="Schulstraße 12"/> <city value="Mertloch"/> <postalCode value="56753"/> <country value="Germany"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:b834c920-7893-42e9-9666-95415dbc2f55"/> <resource> <Specimen> <id value="b834c920-7893-42e9-9666-95415dbc2f55"/> <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">15-Sep-2023</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="2023-09-15"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:f6eee5fe-7af9-4aa5-bae6-79a026b14dd8"/> <resource> <Observation> <id value="f6eee5fe-7af9-4aa5-bae6-79a026b14dd8"/> <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>15-Sep-2023</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td>6.0</td> <td>4.0 - 5.6</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:8f801923-32c8-406b-9584-6eb2d4657c50"/> <display value="Herma Jacobi Jäckel"/> </subject> <effectiveDateTime value="2023-09-15T18:19:01Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="6"/> <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:b834c920-7893-42e9-9666-95415dbc2f55"/> </specimen> <referenceRange> <low> <value value="4"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </low> <high> <value value="5.6"/> <system value="http://unitsofmeasure.org"/> <code value="%"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:6cd48f9b-4439-4f07-804e-5c8bcbd5172e"/> <resource> <Observation> <id value="6cd48f9b-4439-4f07-804e-5c8bcbd5172e"/> <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>15-Sep-2023</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>76.0</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:8f801923-32c8-406b-9584-6eb2d4657c50"/> <display value="Herma Jacobi Jäckel"/> </subject> <effectiveDateTime value="2023-09-15T18:19:01Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="76"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:b834c920-7893-42e9-9666-95415dbc2f55"/> </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:433ee35f-ac19-4fdb-9cb3-5937b2354738"/> <resource> <Observation> <id value="433ee35f-ac19-4fdb-9cb3-5937b2354738"/> <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>15-Sep-2023</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>16.2</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:8f801923-32c8-406b-9584-6eb2d4657c50"/> <display value="Herma Jacobi Jäckel"/> </subject> <effectiveDateTime value="2023-09-15T18:19:01Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="16.2"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:b834c920-7893-42e9-9666-95415dbc2f55"/> </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:2b48066a-9486-41dc-ae93-421791b51a12"/> <resource> <Observation> <id value="2b48066a-9486-41dc-ae93-421791b51a12"/> <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>15-Sep-2023</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td>1.3</td> <td>0.5 - 1.1</td> <td>H</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:8f801923-32c8-406b-9584-6eb2d4657c50"/> <display value="Herma Jacobi Jäckel"/> </subject> <effectiveDateTime value="2023-09-15T18:19:01Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="1.3"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </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:b834c920-7893-42e9-9666-95415dbc2f55"/> </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:1d878652-3a80-45ac-b958-02ac7fe740df"/> <resource> <Observation> <id value="1d878652-3a80-45ac-b958-02ac7fe740df"/> <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>15-Sep-2023</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>9.4</td> <td>8.6 - 10.2</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:8f801923-32c8-406b-9584-6eb2d4657c50"/> <display value="Herma Jacobi Jäckel"/> </subject> <effectiveDateTime value="2023-09-15T18:19:01Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="9.4"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:b834c920-7893-42e9-9666-95415dbc2f55"/> </specimen> <referenceRange> <low> <value value="8.6"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="10.2"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:6046f14e-8e7a-4d98-93f2-b8e8b2eb892d"/> <resource> <Observation> <id value="6046f14e-8e7a-4d98-93f2-b8e8b2eb892d"/> <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>15-Sep-2023</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>140.3</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:8f801923-32c8-406b-9584-6eb2d4657c50"/> <display value="Herma Jacobi Jäckel"/> </subject> <effectiveDateTime value="2023-09-15T18:19:01Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="140.3"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:b834c920-7893-42e9-9666-95415dbc2f55"/> </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:2e7759e9-c71e-45ab-b523-413b85e95116"/> <resource> <Observation> <id value="2e7759e9-c71e-45ab-b523-413b85e95116"/> <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>15-Sep-2023</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>3.9</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:8f801923-32c8-406b-9584-6eb2d4657c50"/> <display value="Herma Jacobi Jäckel"/> </subject> <effectiveDateTime value="2023-09-15T18:19:01Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="3.9"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:b834c920-7893-42e9-9666-95415dbc2f55"/> </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:dddf35c2-f9de-4b76-86a5-356ec62d549f"/> <resource> <Observation> <id value="dddf35c2-f9de-4b76-86a5-356ec62d549f"/> <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>15-Sep-2023</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td>108.1</td> <td>98 - 107</td> <td>H</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:8f801923-32c8-406b-9584-6eb2d4657c50"/> <display value="Herma Jacobi Jäckel"/> </subject> <effectiveDateTime value="2023-09-15T18:19:01Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="108.1"/> <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="H"/> <display value="High"/> </coding> </interpretation> <specimen> <reference value="urn:uuid:b834c920-7893-42e9-9666-95415dbc2f55"/> </specimen> <referenceRange> <low> <value value="98"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="107"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:e81fed56-cf6f-4613-9211-309fdf121711"/> <resource> <Observation> <id value="e81fed56-cf6f-4613-9211-309fdf121711"/> <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>15-Sep-2023</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>24.2</td> <td>22 - 32</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:8f801923-32c8-406b-9584-6eb2d4657c50"/> <display value="Herma Jacobi Jäckel"/> </subject> <effectiveDateTime value="2023-09-15T18:19:01Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="24.2"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:b834c920-7893-42e9-9666-95415dbc2f55"/> </specimen> <referenceRange> <low> <value value="22"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="32"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:d40662e5-6ed2-4ad6-babd-9319b2d58332"/> <resource> <Device> <id value="d40662e5-6ed2-4ad6-babd-9319b2d58332"/> <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:099eb533-505a-4793-bfbf-9c704479c882"/> <resource> <Provenance> <id value="099eb533-505a-4793-bfbf-9c704479c882"/> <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:8f801923-32c8-406b-9584-6eb2d4657c50"/> </target> <target> <reference value="urn:uuid:a425910d-97ba-42e5-a7e6-3fbb969b0543"/> </target> <target> <reference value="urn:uuid:09d35b9b-4eac-414a-8bb2-7d684556212e"/> </target> <target> <reference value="urn:uuid:48bd0a38-0a4f-40f8-aa4e-392df1577827"/> </target> <target> <reference value="urn:uuid:8be8b5e7-f2d6-47d4-83ff-8f20f4eddcc3"/> </target> <target> <reference value="urn:uuid:9bed90be-4db2-4103-aff4-4d8177d771fb"/> </target> <recorded value="2023-09-15T20:19:01Z"/> <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:d40662e5-6ed2-4ad6-babd-9319b2d58332"/> </who> </agent> </Provenance> </resource> </entry> <entry> <fullUrl value="urn:uuid:09d35b9b-4eac-414a-8bb2-7d684556212e"/> <resource> <PractitionerRole> <id value="09d35b9b-4eac-414a-8bb2-7d684556212e"/> <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: 09d35b9b-4eac-414a-8bb2-7d684556212e</div> </text> <practitioner> <reference value="urn:uuid:48bd0a38-0a4f-40f8-aa4e-392df1577827"/> </practitioner> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:48bd0a38-0a4f-40f8-aa4e-392df1577827"/> <resource> <Practitioner> <id value="48bd0a38-0a4f-40f8-aa4e-392df1577827"/> <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="907f78c6-2869-43a0-a858-51b3a3d38564"/> <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"/>
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                     <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>15-SEP-2023</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.0 H</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>76.0</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>16.2</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>1.3 H</strong>
                                 </td>
                                 <td>0.5 - 1.1</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>9.4</td>
                                 <td>8.6 - 10.2</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>140.3</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>3.9</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>108.1 H</strong>
                                 </td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>24.2</td>
                                 <td>22 - 32</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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                     <reference value="urn:uuid:f6eee5fe-7af9-4aa5-bae6-79a026b14dd8"/>
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                  <entry>
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                  <entry>
                     <reference value="urn:uuid:433ee35f-ac19-4fdb-9cb3-5937b2354738"/>
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                  <entry>
                     <reference value="urn:uuid:2b48066a-9486-41dc-ae93-421791b51a12"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:1d878652-3a80-45ac-b958-02ac7fe740df"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:6046f14e-8e7a-4d98-93f2-b8e8b2eb892d"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:2e7759e9-c71e-45ab-b523-413b85e95116"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:dddf35c2-f9de-4b76-86a5-356ec62d549f"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:e81fed56-cf6f-4613-9211-309fdf121711"/>
                  </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 impaired glucose control or prediabetes. Creatinine is slightly elevated, suggesting possible reduced kidney function. Chloride is marginally high but likely not clinically significant. Other parameters are within normal limits. Recommend clinical correlation for kidney function and glycemic status, and consider follow-up testing.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
         </Composition>
      </resource>
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            <text>
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            <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition">
               <valueReference>
                  <reference value="urn:uuid:a425910d-97ba-42e5-a7e6-3fbb969b0543"/>
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               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="79218b4b-6d24-482c-9b7f-581fe67ce600"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="f0c1e87f-65c1-4dbb-90eb-7a66e96cbc7b"/>
               <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)"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="11502-2"/>
                  <display value="Laboratory report"/>
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            <subject>
               <reference value="urn:uuid:8f801923-32c8-406b-9584-6eb2d4657c50"/>
               <display value="Herma Jacobi Jäckel"/>
            </subject>
            <specimen>
               <reference value="urn:uuid:b834c920-7893-42e9-9666-95415dbc2f55"/>
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            <result>
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               <reference value="urn:uuid:dddf35c2-f9de-4b76-86a5-356ec62d549f"/>
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               <reference value="urn:uuid:e81fed56-cf6f-4613-9211-309fdf121711"/>
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      <fullUrl value="urn:uuid:8f801923-32c8-406b-9584-6eb2d4657c50"/>
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         <Patient>
            <id value="8f801923-32c8-406b-9584-6eb2d4657c50"/>
            <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"/>
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                  <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>Herma Jacobi Jäckel</td>
                        <td>female</td>
                        <td>25-Sep-1973</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="DE"/>
                     </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="6016-265554-6"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <system value="http://local.setting.eu/identifier"/>
               <value value="7dc8fe75-a951-3bc5-62af-c83bcd66dd04"/>
            </identifier>
            <name>
               <text value="Herma Jacobi Jäckel"/>
               <family value="Jacobi Jäckel"/>
               <given value="Herma"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+49(0)7115 390771"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1973-09-25"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Jorge-Linke-Gasse 15/68"/>
               <city value="Mayen"/>
               <postalCode value="56727"/>
               <country value="Germany"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:eaa8202e-11d7-460c-a41b-af5988bd4483"/>
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         <ServiceRequest>
            <id value="eaa8202e-11d7-460c-a41b-af5988bd4483"/>
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            <status value="active"/>
            <intent value="order"/>
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                  <code value="108252007"/>
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               <reference value="urn:uuid:8f801923-32c8-406b-9584-6eb2d4657c50"/>
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               <reference value="urn:uuid:8be8b5e7-f2d6-47d4-83ff-8f20f4eddcc3"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 8be8b5e7-f2d6-47d4-83ff-8f20f4eddcc3</div>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Facharzt für Allgemeinmedizin Johann Holbach</div>
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               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="fd9494d1-ce02-4cb1-b0d6-6656321fdb8f"/>
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                  <display value="HL7 Europe"/>
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               <line value="Schulstraße 12"/>
               <city value="Mertloch"/>
               <postalCode value="56753"/>
               <country value="Germany"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Collection Date</th>
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                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">15-Sep-2023</span>
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                        <td>Glucose [Mass/volume] in Blood</td>
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                        <td>70 - 100</td>
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                        <td>mg/dL</td>
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               <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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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
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                        <td>7 - 20</td>
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                        <td>mg/dL</td>
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                  <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"/>
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                        <td>Creatinine [Mass/volume] in Blood</td>
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               <text value="Creatinine [Mass/volume] in Blood"/>
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                        <td>Calcium [Mass/volume] in Blood</td>
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                  <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>
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