{
  "resourceType": "Bundle",
  "id": "cb397932-8e6e-4ec9-a1d7-e49febe16911",
  "meta": {
    "profile": [
      "http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab"
    ]
  },
  "identifier": {
    "assigner": {
      "display": "HL7 Europe"
    },
    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "c1e6cd0b-14b2-4ab5-bcfe-d20f80ef654b"
  },
  "entry": [
    {
      "fullUrl": "urn:uuid:61bc23cd-00de-4bf1-9adf-90263be2f29a",
      "resource": {
        "resourceType": "Composition",
        "id": "61bc23cd-00de-4bf1-9adf-90263be2f29a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab"
          ]
        },
        "extension": [
          {
            "url": "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference",
            "valueReference": {
              "reference": "urn:uuid:a98a0ec0-4196-452d-a165-7e32322b8022"
            }
          }
        ],
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
          },
          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "1ab5059b-a609-44cf-9f89-0a6fd985a23a"
        },
        "author": [
          {
            "reference": "urn:uuid:137f7b90-b7ef-4955-94fe-945e61c5aa07"
          }
        ],
        "category": [
          {
            "coding": [
              {
                "code": "26436-6",
                "system": "http://loinc.org",
                "display": "Laboratory studies (set)"
              }
            ]
          }
        ],
        "type": {
          "coding": [
            {
              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
            }
          ],
          "text": "Laboratory Report"
        },
        "section": [
          {
            "code": {
              "coding": [
                {
                  "code": "26436-6",
                  "system": "http://loinc.org",
                  "display": "Laboratory studies (set)"
                }
              ],
              "text": "Laboratory studies"
            },
            "section": [
              {
                "code": {
                  "coding": [
                    {
                      "code": "18719-5",
                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
                    }
                  ],
                  "text": "Chemistry"
                },
                "entry": [
                  {
                    "reference": "urn:uuid:a3c6456a-e665-4d23-98b9-e3dfa10ab3a5"
                  }
                ],
                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>11-NOV-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Oxygen saturation in Arterial blood</td><td><strong>75.0 L</strong></td><td>95 - 100</td><td>%</td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              }
            ],
            "title": "Laboratory Report"
          },
          {
            "text": {
              "status": "generated",
              "div": "<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 significantly reduced arterial oxygen saturation (75%, reference 95–100%), indicating hypoxemia. This finding warrants urgent clinical evaluation to identify and address underlying causes such as respiratory or cardiac dysfunction. Immediate medical attention is recommended.</td></tr></table></div>"
            },
            "code": {
              "coding": [
                {
                  "code": "48767-8",
                  "system": "http://loinc.org",
                  "display": "Annotation comment [Interpretation] Narrative"
                }
              ]
            },
            "title": "Annotation comment"
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:2c1edd9d-183d-4db1-b713-934d571db42b",
          "display": "Carly Roberts"
        },
        "date": "2023-11-11T07:21:02Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:a98a0ec0-4196-452d-a165-7e32322b8022",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "a98a0ec0-4196-452d-a165-7e32322b8022",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "1ab5059b-a609-44cf-9f89-0a6fd985a23a"
          },
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "a8e916bf-c409-49c7-bbc3-585f8e625215"
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
            "valueReference": {
              "reference": "urn:uuid:61bc23cd-00de-4bf1-9adf-90263be2f29a"
            }
          }
        ],
        "category": [
          {
            "coding": [
              {
                "code": "26436-6",
                "system": "http://loinc.org",
                "display": "Laboratory studies (set)"
              }
            ]
          }
        ],
        "specimen": [
          {
            "reference": "urn:uuid:61b7b6c1-55c3-4196-b38d-0a681a07c825"
          }
        ],
        "result": [
          {
            "reference": "urn:uuid:a3c6456a-e665-4d23-98b9-e3dfa10ab3a5"
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "registered",
        "code": {
          "coding": [
            {
              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:2c1edd9d-183d-4db1-b713-934d571db42b",
          "display": "Carly Roberts"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:2c1edd9d-183d-4db1-b713-934d571db42b",
      "resource": {
        "resourceType": "Patient",
        "id": "2c1edd9d-183d-4db1-b713-934d571db42b",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "9384-259853-9"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "2d771604-faf8-4358-6df7-a76fb9999d05"
          }
        ],
        "name": [
          {
            "given": [
              "Carly"
            ],
            "family": "Roberts",
            "text": "Carly Roberts"
          }
        ],
        "address": [
          {
            "line": [
              "2 Price meadow"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "LE4",
            "city": "Mitchellborough",
            "country": "United Kingdom"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "01514960614"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "GB",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Carly Roberts</td><td>female</td><td>10-Dec-1969</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1969-12-10"
      }
    },
    {
      "fullUrl": "urn:uuid:5501235e-3920-424c-9a8f-72f27c663ff0",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "5501235e-3920-424c-9a8f-72f27c663ff0",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"
          ]
        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "7937837c-aa2a-42d1-8ed1-c14a17c43f37"
          }
        ],
        "specimen": [
          {
            "reference": "urn:uuid:61b7b6c1-55c3-4196-b38d-0a681a07c825"
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "88805009",
                "system": "http://snomed.info/sct",
                "display": "Chronic congestive heart failure"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "197927001",
                "system": "http://snomed.info/sct",
                "display": "Recurrent urinary tract infection"
              }
            ]
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:2c1edd9d-183d-4db1-b713-934d571db42b",
          "display": "Carly Roberts"
        },
        "requester": {
          "reference": "urn:uuid:d762f805-a5ad-4f59-8ef3-dd5ae8d121c7"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d762f805-a5ad-4f59-8ef3-dd5ae8d121c7",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "d762f805-a5ad-4f59-8ef3-dd5ae8d121c7",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: d762f805-a5ad-4f59-8ef3-dd5ae8d121c7</div>"
        },
        "organization": {
          "reference": "urn:uuid:ce87ad52-7584-496a-96bd-d1a635242c36"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ce87ad52-7584-496a-96bd-d1a635242c36",
      "resource": {
        "resourceType": "Organization",
        "id": "ce87ad52-7584-496a-96bd-d1a635242c36",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "b78ba11d-46e3-466b-94e1-653771ae2db3"
          }
        ],
        "address": [
          {
            "line": [
              "Malabar Road 62-66"
            ],
            "city": "Leicester",
            "postalCode": "LE1 4",
            "country": "United Kingdom"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: St Matthews Health &amp; Community Centre</div>"
        },
        "name": "St Matthews Health &amp; Community Centre"
      }
    },
    {
      "fullUrl": "urn:uuid:61b7b6c1-55c3-4196-b38d-0a681a07c825",
      "resource": {
        "resourceType": "Specimen",
        "id": "61b7b6c1-55c3-4196-b38d-0a681a07c825",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
          "collectedDateTime": "2023-11-11"
        },
        "text": {
          "status": "generated",
          "div": "<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>Arterial blood specimen</td><td><span class=\"nb\">11-Nov-2023</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122552005",
              "system": "http://snomed.info/sct",
              "display": "Arterial blood specimen"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a3c6456a-e665-4d23-98b9-e3dfa10ab3a5",
      "resource": {
        "resourceType": "Observation",
        "id": "a3c6456a-e665-4d23-98b9-e3dfa10ab3a5",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2708-6",
              "system": "http://loinc.org",
              "display": "Oxygen saturation in Arterial blood"
            }
          ],
          "text": "Oxygen saturation in Arterial blood"
        },
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 75,
          "unit": "%",
          "code": "%"
        },
        "referenceRange": [
          {
            "low": {
              "value": 95,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            },
            "high": {
              "value": 100,
              "code": "%",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "code": "L",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "display": "Low"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>11-Nov-2023</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Oxygen saturation in Arterial blood</td><td>75.0</td><td>95 - 100</td><td>L</td><td>%</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:2c1edd9d-183d-4db1-b713-934d571db42b",
          "display": "Carly Roberts"
        },
        "effectiveDateTime": "2023-11-11T06:21:02Z",
        "specimen": {
          "reference": "urn:uuid:61b7b6c1-55c3-4196-b38d-0a681a07c825"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:80a14011-3fa7-4416-baa9-048d3a2229e8",
      "resource": {
        "resourceType": "Device",
        "id": "80a14011-3fa7-4416-baa9-048d3a2229e8",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
      }
    },
    {
      "fullUrl": "urn:uuid:ef8ed2f7-9558-454b-a862-a0ded100595b",
      "resource": {
        "resourceType": "Provenance",
        "id": "ef8ed2f7-9558-454b-a862-a0ded100595b",
        "target": [
          {
            "reference": "urn:uuid:2c1edd9d-183d-4db1-b713-934d571db42b"
          },
          {
            "reference": "urn:uuid:61bc23cd-00de-4bf1-9adf-90263be2f29a"
          },
          {
            "reference": "urn:uuid:137f7b90-b7ef-4955-94fe-945e61c5aa07"
          },
          {
            "reference": "urn:uuid:c02e60fb-0427-4396-96c9-df62bdece154"
          },
          {
            "reference": "urn:uuid:d762f805-a5ad-4f59-8ef3-dd5ae8d121c7"
          },
          {
            "reference": "urn:uuid:ce87ad52-7584-496a-96bd-d1a635242c36"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:80a14011-3fa7-4416-baa9-048d3a2229e8"
            }
          }
        ],
        "reason": [
          {
            "coding": [
              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2023-11-11T07:21:02Z"
      }
    },
    {
      "fullUrl": "urn:uuid:137f7b90-b7ef-4955-94fe-945e61c5aa07",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "137f7b90-b7ef-4955-94fe-945e61c5aa07",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: 137f7b90-b7ef-4955-94fe-945e61c5aa07</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:c02e60fb-0427-4396-96c9-df62bdece154"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:c02e60fb-0427-4396-96c9-df62bdece154",
      "resource": {
        "resourceType": "Practitioner",
        "id": "c02e60fb-0427-4396-96c9-df62bdece154",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "467548af-84fe-4140-8bbc-e2cefa9e5f08"
          }
        ],
        "name": [
          {
            "prefix": [
              "dr"
            ],
            "given": [
              "Ex"
            ],
            "family": "Ample"
          }
        ],
        "address": [
          {
            "line": [
              "Laboratoire Central Européenne",
              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
        }
      }
    }
  ],
  "type": "document",
  "timestamp": "2023-11-11T07:21:02Z"
}