<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>29-NOV-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td> <strong>6.4 H</strong> </td> <td>4.0 - 5.6</td> <td>%</td> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>94.2</td> <td>70 - 100</td> <td>mg/dL</td> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>16.1</td> <td>7 - 20</td> <td>mg/dL</td> </tr> <tr> <td>Creatinine [Mass/volume] in Blood</td> <td>0.9</td> <td>0.5 - 1.1</td> <td>mg/dL</td> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>8.8</td> <td>8.5 - 10.5</td> <td>mg/dL</td> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>142.9</td> <td>135 - 145</td> <td>mmol/L</td> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>4.9</td> <td>3.5 - 5.1</td> <td>mmol/L</td> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td>105.4</td> <td>98 - 107</td> <td>mmol/L</td> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>22.0</td> <td>22 - 32</td> <td>mmol/L</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:6877127c-bd13-43fc-84b9-22f15ba8bc1a"/> </entry> <entry> <reference value="urn:uuid:6da4ef5c-477e-4899-8351-507a6078811e"/> </entry> <entry> <reference value="urn:uuid:bdfd6978-a865-4f8e-865c-2cfd5f666a7b"/> </entry> <entry> <reference value="urn:uuid:b372676d-88b4-4585-96ff-c9d2ceb730f7"/> </entry> <entry> <reference value="urn:uuid:c3a9e2b3-ba2a-4418-8db7-d7b3c4a4b1d9"/> </entry> <entry> <reference value="urn:uuid:702182d4-3119-4cfd-a8ab-7de0266209c8"/> </entry> <entry> <reference value="urn:uuid:03ebcb43-73a3-4cbd-ab1b-ae4dbda001bb"/> </entry> <entry> <reference value="urn:uuid:f4e8f61f-1996-4338-8175-c71ba95d2551"/> </entry> <entry> <reference value="urn:uuid:5ab68870-dfe3-43c7-a5b2-37c742222ef0"/> </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 laboratory results show an elevated HbA1c (6.4%), indicating impaired glucose metabolism consistent with prediabetes or early diabetes. All other parameters, including renal function, electrolytes, and calcium, are within normal limits. Recommend clinical follow-up for glycemic control and diabetes risk assessment.</td> </tr> </table> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:54b8b9b5-dbdd-4116-9202-77ac537b9a22"/> <resource> <DiagnosticReport> <id value="54b8b9b5-dbdd-4116-9202-77ac537b9a22"/> <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:c6aeea0d-b2a2-4da1-93c1-220c02b898d5"/> </valueReference> </extension> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="e379eee4-b025-4f7e-b415-d4298bb61673"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="d262e8ea-156f-4428-ab63-2b1fb9fcceaf"/> <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:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <display value="Kathryn Singh"/> </subject> <specimen> <reference value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/> </specimen> <result> <reference value="urn:uuid:6877127c-bd13-43fc-84b9-22f15ba8bc1a"/> </result> <result> <reference value="urn:uuid:6da4ef5c-477e-4899-8351-507a6078811e"/> </result> <result> <reference value="urn:uuid:bdfd6978-a865-4f8e-865c-2cfd5f666a7b"/> </result> <result> <reference value="urn:uuid:b372676d-88b4-4585-96ff-c9d2ceb730f7"/> </result> <result> <reference value="urn:uuid:c3a9e2b3-ba2a-4418-8db7-d7b3c4a4b1d9"/> </result> <result> <reference value="urn:uuid:702182d4-3119-4cfd-a8ab-7de0266209c8"/> </result> <result> <reference value="urn:uuid:03ebcb43-73a3-4cbd-ab1b-ae4dbda001bb"/> </result> <result> <reference value="urn:uuid:f4e8f61f-1996-4338-8175-c71ba95d2551"/> </result> <result> <reference value="urn:uuid:5ab68870-dfe3-43c7-a5b2-37c742222ef0"/> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <resource> <Patient> <id value="851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <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>Kathryn Singh</td> <td>female</td> <td>24-Dec-1977</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="GB"/> </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="1354-713350-7"/> </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="13cae0d9-eed0-d25a-b9fa-6f5c17cf6342"/> </identifier> <name> <text value="Kathryn Singh"/> <family value="Singh"/> <given value="Kathryn"/> </name> <telecom> <system value="phone"/> <value value="(0115)4960034"/> </telecom> <gender value="female"/> <birthDate value="1977-12-24"/> <address> <use value="home"/> <type value="physical"/> <line value="166 Brian pine"/> <city value="Robertsonmouth"/> <postalCode value="PA37"/> <country value="United Kingdom"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:1a309f52-a106-4a9a-8632-7b611d29ef9f"/> <resource> <ServiceRequest> <id value="1a309f52-a106-4a9a-8632-7b611d29ef9f"/> <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="f8f648be-3c91-4ccf-a92e-c6906eb8274b"/> </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:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <display value="Kathryn Singh"/> </subject> <requester> <reference value="urn:uuid:21e005e6-879b-4b9e-8e08-29fe4963192a"/> </requester> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="203082005"/> <display value="Fibromyalgia"/> </coding> </reasonCode> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="271737000"/> <display value="Anemia"/> </coding> </reasonCode> <specimen> <reference value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/> </specimen> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:21e005e6-879b-4b9e-8e08-29fe4963192a"/> <resource> <PractitionerRole> <id value="21e005e6-879b-4b9e-8e08-29fe4963192a"/> <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: 21e005e6-879b-4b9e-8e08-29fe4963192a</div> </text> <organization> <reference value="urn:uuid:73f6aac7-0b01-4186-a86f-0a99b3595d92"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:73f6aac7-0b01-4186-a86f-0a99b3595d92"/> <resource> <Organization> <id value="73f6aac7-0b01-4186-a86f-0a99b3595d92"/> <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: Lorn Medical Centre</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="b034c89d-bff0-4f78-bf58-2df22606e8ce"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Lorn Medical Centre"/> <address> <city value="Oban"/> <postalCode value="PA34 4"/> <country value="United Kingdom"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/> <resource> <Specimen> <id value="29bb9148-feb4-40a6-97e6-1f2858d50465"/> <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">29-Nov-2015</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="2015-11-29"/> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:6877127c-bd13-43fc-84b9-22f15ba8bc1a"/> <resource> <Observation> <id value="6877127c-bd13-43fc-84b9-22f15ba8bc1a"/> <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>29-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Hemoglobin A1c/Hemoglobin.total in Blood</td> <td>6.4</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:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <display value="Kathryn Singh"/> </subject> <effectiveDateTime value="2015-11-29T12:57:52Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="6.4"/> <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:29bb9148-feb4-40a6-97e6-1f2858d50465"/> </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:6da4ef5c-477e-4899-8351-507a6078811e"/> <resource> <Observation> <id value="6da4ef5c-477e-4899-8351-507a6078811e"/> <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>29-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Glucose [Mass/volume] in Blood</td> <td>94.2</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:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <display value="Kathryn Singh"/> </subject> <effectiveDateTime value="2015-11-29T12:57:52Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="94.2"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/> </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:bdfd6978-a865-4f8e-865c-2cfd5f666a7b"/> <resource> <Observation> <id value="bdfd6978-a865-4f8e-865c-2cfd5f666a7b"/> <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>29-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Urea nitrogen [Mass/volume] in Blood</td> <td>16.1</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:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <display value="Kathryn Singh"/> </subject> <effectiveDateTime value="2015-11-29T12:57:52Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="16.1"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference 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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:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <display value="Kathryn Singh"/> </subject> <effectiveDateTime value="2015-11-29T12:57:52Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="0.9"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/> </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:c3a9e2b3-ba2a-4418-8db7-d7b3c4a4b1d9"/> <resource> <Observation> <id value="c3a9e2b3-ba2a-4418-8db7-d7b3c4a4b1d9"/> <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>29-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Calcium [Mass/volume] in Blood</td> <td>8.8</td> <td>8.5 - 10.5</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="49765-1"/> <display value="Calcium [Mass/volume] in Blood"/> </coding> <text value="Calcium [Mass/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <display value="Kathryn Singh"/> </subject> <effectiveDateTime value="2015-11-29T12:57:52Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="8.8"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </valueQuantity> <specimen> <reference value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/> </specimen> <referenceRange> <low> <value value="8.5"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </low> <high> <value value="10.5"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:702182d4-3119-4cfd-a8ab-7de0266209c8"/> <resource> <Observation> <id value="702182d4-3119-4cfd-a8ab-7de0266209c8"/> <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>29-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Sodium [Moles/volume] in Blood</td> <td>142.9</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:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <display value="Kathryn Singh"/> </subject> <effectiveDateTime value="2015-11-29T12:57:52Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="142.9"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/> </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:03ebcb43-73a3-4cbd-ab1b-ae4dbda001bb"/> <resource> <Observation> <id value="03ebcb43-73a3-4cbd-ab1b-ae4dbda001bb"/> <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>29-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Potassium [Moles/volume] in Blood</td> <td>4.9</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:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <display value="Kathryn Singh"/> </subject> <effectiveDateTime value="2015-11-29T12:57:52Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="4.9"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/> </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:f4e8f61f-1996-4338-8175-c71ba95d2551"/> <resource> <Observation> <id value="f4e8f61f-1996-4338-8175-c71ba95d2551"/> <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>29-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Chloride [Moles/volume] in Blood</td> <td>105.4</td> <td>98 - 107</td> <td/> <td>mmol/L</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="2069-3"/> <display value="Chloride [Moles/volume] in Blood"/> </coding> <text value="Chloride [Moles/volume] in Blood"/> </code> <subject> <reference value="urn:uuid:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <display value="Kathryn Singh"/> </subject> <effectiveDateTime value="2015-11-29T12:57:52Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="105.4"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/> </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:5ab68870-dfe3-43c7-a5b2-37c742222ef0"/> <resource> <Observation> <id value="5ab68870-dfe3-43c7-a5b2-37c742222ef0"/> <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>29-Nov-2015</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Carbon dioxide, total [Moles/volume] in Blood</td> <td>22.0</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:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> <display value="Kathryn Singh"/> </subject> <effectiveDateTime value="2015-11-29T12:57:52Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="22"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </valueQuantity> <specimen> <reference value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/> </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:c4733fc9-a64b-4059-9b08-3bb6ae41f70b"/> <resource> <Device> <id value="c4733fc9-a64b-4059-9b08-3bb6ae41f70b"/> <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:6ff3b147-ea16-48a2-9bb3-324aa5eec34a"/> <resource> <Provenance> <id value="6ff3b147-ea16-48a2-9bb3-324aa5eec34a"/> <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:851ffa92-4ae7-4261-9b0b-6214b2df503f"/> </target> <target> <reference value="urn:uuid:c6aeea0d-b2a2-4da1-93c1-220c02b898d5"/> </target> <target> <reference value="urn:uuid:8d5dc4d2-4875-4c96-b851-504b21bc1788"/> </target> <target> <reference value="urn:uuid:5af2b0bc-673d-4696-9279-91800efbf6d1"/> </target> <target> <reference value="urn:uuid:21e005e6-879b-4b9e-8e08-29fe4963192a"/> </target> <target> <reference value="urn:uuid:73f6aac7-0b01-4186-a86f-0a99b3595d92"/> </target> <recorded value="2015-11-29T13:57:52Z"/> <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:c4733fc9-a64b-4059-9b08-3bb6ae41f70b"/> </who> </agent> </Provenance> </resource> </entry> <entry> <fullUrl value="urn:uuid:8d5dc4d2-4875-4c96-b851-504b21bc1788"/> <resource> <PractitionerRole> <id value="8d5dc4d2-4875-4c96-b851-504b21bc1788"/> <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: 8d5dc4d2-4875-4c96-b851-504b21bc1788</div> </text> <practitioner> <reference value="urn:uuid:5af2b0bc-673d-4696-9279-91800efbf6d1"/> </practitioner> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:5af2b0bc-673d-4696-9279-91800efbf6d1"/> <resource> <Practitioner> <id value="5af2b0bc-673d-4696-9279-91800efbf6d1"/> <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="d5cec0f9-c32f-4853-b5e7-55ba5bf1ed89"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Ample"/> <given value="Ex"/> <prefix value="dr"/> </name> <address> <line value="Laboratoire Central Européenne"/> <line value="Boulevard du Jardin Botanique 32"/> <city value="Brussels"/> <postalCode value="1000"/> <country value="Belgium"/> </address> </Practitioner> </resource> </entry> </Bundle>

intentionally left empty / not meaningful


            
               
                  
                  
                  
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <section>
               <title value="Laboratory Report"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="26436-6"/>
                     <display value="Laboratory studies (set)"/>
                  </coding>
                  <text value="Laboratory studies"/>
               </code>
               <section>
                  <title value="Chemistry"/>
                  <code>
                     <coding>
                        <system value="http://loinc.org"/>
                        <code value="18719-5"/>
                        <display value="Chemistry studies (set)"/>
                     </coding>
                     <text value="Chemistry"/>
                  </code>
                  <text>
                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>29-NOV-2015</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.4 H</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>94.2</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>16.1</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>0.9</td>
                                 <td>0.5 - 1.1</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>8.8</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>142.9</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.9</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>105.4</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>22.0</td>
                                 <td>22 - 32</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
                  <entry>
                     <reference value="urn:uuid:6877127c-bd13-43fc-84b9-22f15ba8bc1a"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:6da4ef5c-477e-4899-8351-507a6078811e"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:bdfd6978-a865-4f8e-865c-2cfd5f666a7b"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:b372676d-88b4-4585-96ff-c9d2ceb730f7"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:c3a9e2b3-ba2a-4418-8db7-d7b3c4a4b1d9"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:702182d4-3119-4cfd-a8ab-7de0266209c8"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:03ebcb43-73a3-4cbd-ab1b-ae4dbda001bb"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:f4e8f61f-1996-4338-8175-c71ba95d2551"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:5ab68870-dfe3-43c7-a5b2-37c742222ef0"/>
                  </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 laboratory results show an elevated HbA1c (6.4%), indicating impaired glucose metabolism consistent with prediabetes or early diabetes. All other parameters, including renal function, electrolytes, and calcium, are within normal limits. Recommend clinical follow-up for glycemic control and diabetes risk assessment.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:54b8b9b5-dbdd-4116-9202-77ac537b9a22"/>
      <resource>
         <DiagnosticReport>
            <id value="54b8b9b5-dbdd-4116-9202-77ac537b9a22"/>
            <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:c6aeea0d-b2a2-4da1-93c1-220c02b898d5"/>
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            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="e379eee4-b025-4f7e-b415-d4298bb61673"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="d262e8ea-156f-4428-ab63-2b1fb9fcceaf"/>
               <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:851ffa92-4ae7-4261-9b0b-6214b2df503f"/>
               <display value="Kathryn Singh"/>
            </subject>
            <specimen>
               <reference value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/>
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            <result>
               <reference value="urn:uuid:6877127c-bd13-43fc-84b9-22f15ba8bc1a"/>
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            <result>
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               <reference value="urn:uuid:bdfd6978-a865-4f8e-865c-2cfd5f666a7b"/>
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            <result>
               <reference value="urn:uuid:b372676d-88b4-4585-96ff-c9d2ceb730f7"/>
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            <result>
               <reference value="urn:uuid:c3a9e2b3-ba2a-4418-8db7-d7b3c4a4b1d9"/>
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            <result>
               <reference value="urn:uuid:702182d4-3119-4cfd-a8ab-7de0266209c8"/>
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            <result>
               <reference value="urn:uuid:03ebcb43-73a3-4cbd-ab1b-ae4dbda001bb"/>
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            <result>
               <reference value="urn:uuid:f4e8f61f-1996-4338-8175-c71ba95d2551"/>
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            <result>
               <reference value="urn:uuid:5ab68870-dfe3-43c7-a5b2-37c742222ef0"/>
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         </DiagnosticReport>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:851ffa92-4ae7-4261-9b0b-6214b2df503f"/>
      <resource>
         <Patient>
            <id value="851ffa92-4ae7-4261-9b0b-6214b2df503f"/>
            <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>Kathryn Singh</td>
                        <td>female</td>
                        <td>24-Dec-1977</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="GB"/>
                     </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="1354-713350-7"/>
            </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="13cae0d9-eed0-d25a-b9fa-6f5c17cf6342"/>
            </identifier>
            <name>
               <text value="Kathryn Singh"/>
               <family value="Singh"/>
               <given value="Kathryn"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="(0115)4960034"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1977-12-24"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="166 Brian pine"/>
               <city value="Robertsonmouth"/>
               <postalCode value="PA37"/>
               <country value="United Kingdom"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:1a309f52-a106-4a9a-8632-7b611d29ef9f"/>
      <resource>
         <ServiceRequest>
            <id value="1a309f52-a106-4a9a-8632-7b611d29ef9f"/>
            <meta>
               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/>
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            <text>
               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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               <system value="http://example.org"/>
               <value value="f8f648be-3c91-4ccf-a92e-c6906eb8274b"/>
            </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:851ffa92-4ae7-4261-9b0b-6214b2df503f"/>
               <display value="Kathryn Singh"/>
            </subject>
            <requester>
               <reference value="urn:uuid:21e005e6-879b-4b9e-8e08-29fe4963192a"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="203082005"/>
                  <display value="Fibromyalgia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
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            </reasonCode>
            <specimen>
               <reference value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/>
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         </ServiceRequest>
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   <entry>
      <fullUrl value="urn:uuid:21e005e6-879b-4b9e-8e08-29fe4963192a"/>
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         <PractitionerRole>
            <id value="21e005e6-879b-4b9e-8e08-29fe4963192a"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 21e005e6-879b-4b9e-8e08-29fe4963192a</div>
            </text>
            <organization>
               <reference value="urn:uuid:73f6aac7-0b01-4186-a86f-0a99b3595d92"/>
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   <entry>
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         <Organization>
            <id value="73f6aac7-0b01-4186-a86f-0a99b3595d92"/>
            <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: Lorn Medical Centre</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="b034c89d-bff0-4f78-bf58-2df22606e8ce"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Lorn Medical Centre"/>
            <address>
               <city value="Oban"/>
               <postalCode value="PA34 4"/>
               <country value="United Kingdom"/>
            </address>
         </Organization>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/>
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         <Specimen>
            <id value="29bb9148-feb4-40a6-97e6-1f2858d50465"/>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Specimen</th>
                        <th>Collection Date</th>
                     </tr>
                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">29-Nov-2015</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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            <collection>
               <collectedDateTime value="2015-11-29"/>
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         </Specimen>
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   <entry>
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         <Observation>
            <id value="6877127c-bd13-43fc-84b9-22f15ba8bc1a"/>
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            <text>
               <status value="generated"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>29-Nov-2015</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>6.4</td>
                        <td>4.0 - 5.6</td>
                        <td>H</td>
                        <td>%</td>
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               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="4548-4"/>
                  <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
               </coding>
               <text value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
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            <subject>
               <reference value="urn:uuid:851ffa92-4ae7-4261-9b0b-6214b2df503f"/>
               <display value="Kathryn Singh"/>
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            <valueQuantity>
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                  <code value="H"/>
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               <reference value="urn:uuid:29bb9148-feb4-40a6-97e6-1f2858d50465"/>
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               <low>
                  <value value="4"/>
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                  <code value="%"/>
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                  <value value="5.6"/>
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         <Observation>
            <id value="6da4ef5c-477e-4899-8351-507a6078811e"/>
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            <text>
               <status value="generated"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>29-Nov-2015</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>94.2</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2339-0"/>
                  <display value="Glucose [Mass/volume] in Blood"/>
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               <text value="Glucose [Mass/volume] in Blood"/>
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               <reference value="urn:uuid:851ffa92-4ae7-4261-9b0b-6214b2df503f"/>
               <display value="Kathryn Singh"/>
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               <code value="mg/dL"/>
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                  <code value="mg/dL"/>
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                  <value value="100"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>Test</th>
                        <th>29-Nov-2015</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>16.1</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="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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                  <value value="20"/>
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                  <code value="mg/dL"/>
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         <Observation>
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            <text>
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                  <table class="hl7__eu__lab__report">
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                        <th>Test</th>
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                        <th>Reference Range</th>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>0.9</td>
                        <td>0.5 - 1.1</td>
                        <td/>
                        <td>mg/dL</td>
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               </div>
            </text>
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                  <code value="laboratory"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="38483-4"/>
                  <display value="Creatinine [Mass/volume] in Blood"/>
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               <text value="Creatinine [Mass/volume] in Blood"/>
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                  <code value="mg/dL"/>
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            <id value="c3a9e2b3-ba2a-4418-8db7-d7b3c4a4b1d9"/>
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                  <table class="hl7__eu__lab__report">
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                        <th>29-Nov-2015</th>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>8.8</td>
                        <td>8.5 - 10.5</td>
                        <td/>
                        <td>mg/dL</td>
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               <coding>
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                  <code value="49765-1"/>
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               <text value="Calcium [Mass/volume] in Blood"/>
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                        <th>29-Nov-2015</th>
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                        <td>Sodium [Moles/volume] in Blood</td>
                        <td>142.9</td>
                        <td>135 - 145</td>
                        <td/>
                        <td>mmol/L</td>
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                  <code value="2947-0"/>
                  <display value="Sodium [Moles/volume] in Blood"/>
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               <text value="Sodium [Moles/volume] in Blood"/>
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                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.9</td>
                        <td>3.5 - 5.1</td>
                        <td/>
                        <td>mmol/L</td>
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                  <code value="6298-4"/>
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               <text value="Potassium [Moles/volume] in Blood"/>
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                  <table class="hl7__eu__lab__report">
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                        <td>Chloride [Moles/volume] in Blood</td>
                        <td>105.4</td>
                        <td>98 - 107</td>
                        <td/>
                        <td>mmol/L</td>
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