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            <title value="Laboratory Report"/>
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               <title value="Laboratory Report"/>
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                  <title value="Chemistry"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>22-JUL-2020</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>74.4</td>
                                 <td>70 - 140</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>12.5</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>1.8 H</strong>
                                 </td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Serum or Plasma</td>
                                 <td>8.9</td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>140.6</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>4.8</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>106.6</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>22.3</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test = +</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>3.1 L</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>74.4</td>
                                 <td>70 - 140</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>12.5</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>1.4 H</strong>
                                 </td>
                                 <td>0.6 - 1.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Blood</td>
                                 <td>8.9</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>140.6</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.8</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>106.6</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>22.3</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
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                  <title value="Urinalysis"/>
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                        <display value="Urinalysis studies (set)"/>
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                     <status value="generated"/>
                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Urinalysis</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>22-JUL-2020</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>1.9</td>
                                 <td>0 - 5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Presence] in Urine by Test strip</td>
                                 <td>Urine glucose test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Mass/volume] in Urine by Test strip</td>
                                 <td>1.2</td>
                                 <td>0 - 4</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Bilirubin.total [Presence] in Urine by Test strip</td>
                                 <td>Finding of bilirubin in urine</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Ketones [Mass/volume] in Urine by Test strip</td>
                                 <td>3.3</td>
                                 <td>0 - 4</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Specific gravity of Urine by Test strip</td>
                                 <td>
                                    <strong>1.0 L</strong>
                                 </td>
                                 <td>1.005 - 1.030</td>
                                 <td>{nominal}</td>
                              </tr>
                              <tr>
                                 <td>pH of Urine by Test strip</td>
                                 <td>6.6</td>
                                 <td>5.0 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>179.9 H</strong>
                                 </td>
                                 <td>0 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Protein [Presence] in Urine by Test strip</td>
                                 <td>Urine protein test = ++</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Nitrite [Presence] in Urine by Test strip</td>
                                 <td>Urine nitrite negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin [Presence] in Urine by Test strip</td>
                                 <td>Urine blood test = negative</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
                                 <td>Urine leukocyte test negative</td>
                                 <td/>
                                 <td/>
                              </tr>
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                        <h3>Specimen information</h3>
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                                 <th>Test</th>
                                 <th>22-JUL-2020</th>
                                 <th>Specimen</th>
                                 <th/>
                              </tr>
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                           <tbody>
                              <tr>
                                 <td>Appearance of Urine</td>
                                 <td>Cloudy urine</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Odor of Urine</td>
                                 <td>Urine smell ammoniacal</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Clarity of Urine</td>
                                 <td>Translucent</td>
                                 <td>Urine</td>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Color of Urine</td>
                                 <td>Brown color</td>
                                 <td>Urine</td>
                                 <td/>
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                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows mildly elevated creatinine, suggesting possible renal impairment. Urinalysis reveals significant proteinuria, low specific gravity, and abnormal appearance (cloudy, brown, ammoniacal), but no evidence of infection (negative nitrite/leukocytes). Glycemic control appears low (low HbA1c), and serum glucose is at the lower end of normal. Findings are consistent with possible chronic kidney disease and proteinuria; further nephrological evaluation is recommended.</td>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
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               <tag>
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                  <display value="SYNDERAI Synthetic data"/>
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                  <table class="hl7__ips">
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                        <td>Patricia Joubert</td>
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                        <code value="FR"/>
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                  </valueCodeableConcept>
               </extension>
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            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="7843-162355-8"/>
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            <identifier>
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                  <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="ba17a51d-e5e2-2da2-b64f-9361f1a480e6"/>
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            <name>
               <text value="Patricia Joubert"/>
               <family value="Joubert"/>
               <given value="Patricia"/>
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            <telecom>
               <system value="phone"/>
               <value value="0760047035"/>
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            <gender value="female"/>
            <birthDate value="1939-09-10"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="7, chemin Lenoir"/>
               <city value="Delahaye-la-Forêt"/>
               <postalCode value="50570"/>
               <country value="France"/>
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         </Patient>
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               <status value="empty"/>
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            <status value="active"/>
            <intent value="order"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="108252007"/>
                  <display value="Laboratory procedure"/>
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            <subject>
               <reference value="urn:uuid:3564fa1d-a6ff-46bd-9d04-9b57151ecfe7"/>
               <display value="Patricia Joubert"/>
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                  <system value="http://snomed.info/sct"/>
                  <code value="433144002"/>
                  <display value="Chronic kidney disease stage 3"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="157141000119108"/>
                  <display value="Proteinuria due to type 2 diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431856006"/>
                  <display value="Chronic kidney disease stage 2"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="90781000119102"/>
                  <display value="Microalbuminuria due to type 2 diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26929004"/>
                  <display value="Alzheimer's disease"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="401303003"/>
                  <display value="Acute ST segment elevation myocardial infarction"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="127013003"/>
                  <display value="Disorder of kidney due to diabetes mellitus"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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            </reasonCode>
            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="40055000"/>
                  <display value="Chronic sinusitis"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="79619009"/>
                  <display value="Mitral valve stenosis"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="55822004"/>
                  <display value="Hyperlipidemia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
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            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
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            </reasonCode>
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            <specimen>
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            <specimen>
               <reference value="urn:uuid:aacd96d7-6cc8-4d46-9693-78e71d8614bb"/>
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         <PractitionerRole>
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            <meta>
               <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: 9556a7eb-1e4e-469c-800b-477e5edb4a1e</div>
            </text>
            <organization>
               <reference value="urn:uuid:68aa89b7-8a30-4915-b0e3-d775b3e9bad8"/>
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         <Organization>
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            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: Maison Médical</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="970e0d0a-e757-49fb-bbe7-234f2d193abf"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="Maison Médical"/>
            <address>
               <country value="France"/>
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         </Organization>
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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>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">22-Jul-2020</span>
                        </td>
                     </tr>
                  </table>
               </div>
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                  <system value="http://snomed.info/sct"/>
                  <code value="122592007"/>
                  <display value="Acellular blood (serum or plasma) specimen"/>
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            <collection>
               <collectedDateTime value="2020-07-22"/>
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         </Specimen>
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                        <th>Collection Date</th>
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                     <tr>
                        <td>Urine specimen</td>
                        <td>
                           <span class="nb">22-Jul-2020</span>
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                  </table>
               </div>
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                  <code value="122575003"/>
                  <display value="Urine specimen"/>
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               <collectedDateTime value="2020-07-22"/>
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                     <tr>
                        <td>Whole blood specimen (specimen)</td>
                        <td>
                           <span class="nb">22-Jul-2020</span>
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                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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               <collectedDateTime value="2020-07-22"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>22-Jul-2020</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
                        <td>74.4</td>
                        <td>70 - 140</td>
                        <td/>
                        <td>mg/dL</td>
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                  </table>
               </div>
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            <status value="final"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2345-7"/>
                  <display value="Glucose [Mass/volume] in Serum or Plasma"/>
               </coding>
               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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               <display value="Patricia Joubert"/>
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            <effectiveDateTime value="2020-07-22T06:42:07Z"/>
            <performer>
               <display value="The Central European Lab"/>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                        <td>12.5</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
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               </div>
            </text>
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            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="3094-0"/>
                  <display value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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            <subject>
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            <performer>
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               <value value="12.5"/>
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               <code value="mg/dL"/>
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            <specimen>
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                  <value value="7"/>
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                  <value value="20"/>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
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                        <td>0.6 - 1.3</td>
                        <td>H</td>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="2160-0"/>
                  <display value="Creatinine [Mass/volume] in Serum or Plasma"/>
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               <text value="Creatinine [Mass/volume] in Serum or Plasma"/>
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            <subject>
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            <valueQuantity>
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                  <code value="H"/>
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            <specimen>
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   <entry>
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                  <table class="hl7__eu__lab__report">
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                        <th>22-Jul-2020</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
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                     <tr>
                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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                        <td>8.6 - 10.3</td>
                        <td/>
                        <td>mg/dL</td>
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                  </table>
               </div>
            </text>
            <status value="final"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="laboratory"/>
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            <code>
               <coding>
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                  <code value="17861-6"/>
                  <display value="Calcium [Mass/volume] in Serum or Plasma"/>
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               <text value="Calcium [Mass/volume] in Serum or Plasma"/>
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            <subject>
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                        <th>Test</th>
                        <th>22-Jul-2020</th>
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                        <td>Leukocyte esterase [Presence] in Urine by Test strip</td>
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                        <th>Test</th>
                        <th>22-Jul-2020</th>
                        <th>Reference Range</th>
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                        <td>Glucose [Mass/volume] in Blood</td>
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                        <td>Urea nitrogen [Mass/volume] in Blood</td>
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                        <td>Calcium [Mass/volume] in Blood</td>
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                        <td>Sodium [Moles/volume] in Blood</td>
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               <reference value="urn:uuid:aacd96d7-6cc8-4d46-9693-78e71d8614bb"/>
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            <referenceRange>
               <low>
                  <value value="22"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
               </low>
               <high>
                  <value value="29"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mmol/L"/>
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            </referenceRange>
         </Observation>
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      <fullUrl value="urn:uuid:2ff35d3b-2e77-4b8a-b3c5-b76cce672b0f"/>
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         <Device>
            <id value="2ff35d3b-2e77-4b8a-b3c5-b76cce672b0f"/>
            <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>
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         <Provenance>
            <id value="7de35d74-1cbb-4a0a-af2f-61359cff2e89"/>
            <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:3564fa1d-a6ff-46bd-9d04-9b57151ecfe7"/>
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            <target>
               <reference value="urn:uuid:24af5670-c0e5-41bb-bfd3-611dc576904d"/>
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            <target>
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            <target>
               <reference value="urn:uuid:2fa6eef1-5259-4a05-8539-9be089168b2b"/>
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            <target>
               <reference value="urn:uuid:9556a7eb-1e4e-469c-800b-477e5edb4a1e"/>
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            <target>
               <reference value="urn:uuid:68aa89b7-8a30-4915-b0e3-d775b3e9bad8"/>
            </target>
            <recorded value="2020-07-22T08:42:07Z"/>
            <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"/>
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                  <text value="author"/>
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               <who>
                  <reference value="urn:uuid:2ff35d3b-2e77-4b8a-b3c5-b76cce672b0f"/>
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            </agent>
         </Provenance>
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   <entry>
      <fullUrl value="urn:uuid:0ccd8710-fdec-42fa-b820-83577a92f300"/>
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            <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: 0ccd8710-fdec-42fa-b820-83577a92f300</div>
            </text>
            <practitioner>
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            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu"/>
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            <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="3e2a0a9f-3521-4376-ad4d-27a11ad38dfd"/>
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                  <display value="HL7 Europe"/>
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            </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>