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               <display value="Rosario Varela"/>
            </subject>
            <date value="2023-07-03T21:05:42Z"/>
            <author>
               <reference value="urn:uuid:18065037-f233-413f-89e9-cf8c2d69a862"/>
            </author>
            <title value="Laboratory Report"/>
            <confidentiality value="N"/>
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               <title value="Laboratory Report"/>
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                        <h3>Chemistry</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>03-JUL-2023</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>85.9</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>10.3</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>2.6 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>9.5</td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>141.5</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Serum or Plasma</td>
                                 <td>4.0</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Serum or Plasma</td>
                                 <td>106.3</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>27.4</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
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            </section>
            <section>
               <title value="Annotation comment"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="48767-8"/>
                     <display value="Annotation comment [Interpretation] Narrative"/>
                  </coding>
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               <text>
                  <status value="generated"/>
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                     <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>All measured parameters are within normal limits except for creatinine, which is elevated, indicating possible impaired renal function. Other kidney-related markers (urea nitrogen, electrolytes) are normal. Recommend clinical correlation and further evaluation of renal function, including assessment for chronic kidney disease or acute kidney injury.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
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            <status value="registered"/>
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                  <display value="Laboratory studies (set)"/>
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               <coding>
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            <subject>
               <reference value="urn:uuid:580b9bcc-7c1e-42f4-8b0f-5f68b44752e7"/>
               <display value="Rosario Varela"/>
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            <result>
               <reference value="urn:uuid:a4225722-25bb-4a5b-8b62-6d4e6c50c76f"/>
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         </DiagnosticReport>
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   </entry>
   <entry>
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         <Patient>
            <id value="580b9bcc-7c1e-42f4-8b0f-5f68b44752e7"/>
            <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>Rosario Varela</td>
                        <td>male</td>
                        <td>03-May-1956</td>
                     </tr>
                  </table>
               </div>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
                  <valueCodeableConcept>
                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="ES"/>
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                  </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="8295-992682-3"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <value value="e1ada39d-fcc0-87a3-bed2-b62ce595f14e"/>
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               <text value="Rosario Varela"/>
               <family value="Varela"/>
               <given value="Rosario"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+34988 576 513"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1956-05-03"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Ronda de Graciela Llorens 62"/>
               <city value="Valencia"/>
               <postalCode value="46001"/>
               <country value="Spain"/>
            </address>
         </Patient>
      </resource>
   </entry>
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            <status value="active"/>
            <intent value="order"/>
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            <requester>
               <reference value="urn:uuid:b9c4b5c7-afc8-4d89-8daf-8e9f098b4aae"/>
            </requester>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="64859006"/>
                  <display value="Osteoporosis"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="414545008"/>
                  <display value="Ischemic heart disease"/>
               </coding>
            </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="1254812006"/>
                  <display value="Substance dependence"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="237602007"/>
                  <display value="Metabolic syndrome X"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="196416002"/>
                  <display value="Impacted molars"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="124171000119105"/>
                  <display value="Chronic intractable migraine without aura"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="78275009"/>
                  <display value="Obstructive sleep apnea syndrome"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="39898005"/>
                  <display value="Sleep disorder"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="59621000"/>
                  <display value="Essential hypertension"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:cdbe0c7f-937c-4981-b935-39433679c129"/>
            </specimen>
         </ServiceRequest>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:b9c4b5c7-afc8-4d89-8daf-8e9f098b4aae"/>
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         <PractitionerRole>
            <id value="b9c4b5c7-afc8-4d89-8daf-8e9f098b4aae"/>
            <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: b9c4b5c7-afc8-4d89-8daf-8e9f098b4aae</div>
            </text>
            <organization>
               <reference value="urn:uuid:bb4d1728-6b7c-4cb5-81d0-f86482d41b4f"/>
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         </PractitionerRole>
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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: Centro Privado de Educación Especial Parálisis Cerebral Infantil</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="42d53267-4a2f-4f56-89b2-bdc9070d6db5"/>
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                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name value="Centro Privado de Educación Especial Parálisis Cerebral Infantil"/>
            <address>
               <line value="Calle Alboraya 4"/>
               <city value="Valencia"/>
               <postalCode value="46010"/>
               <country value="Spain"/>
            </address>
         </Organization>
      </resource>
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            </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>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">03-Jul-2023</span>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <type>
               <coding>
                  <system value="http://snomed.info/sct"/>
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                  <display value="Acellular blood (serum or plasma) specimen"/>
               </coding>
            </type>
            <collection>
               <collectedDateTime value="2023-07-03"/>
            </collection>
         </Specimen>
      </resource>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>03-Jul-2023</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
                        <td>85.9</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"/>
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               </coding>
            </category>
            <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"/>
            </code>
            <subject>
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               <display value="Rosario Varela"/>
            </subject>
            <effectiveDateTime value="2023-07-03T19:05:42Z"/>
            <performer>
               <display value="The Central European Lab"/>
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            <valueQuantity>
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               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
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            <referenceRange>
               <low>
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                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
               </low>
               <high>
                  <value value="100"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg/dL"/>
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               <status value="generated"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>03-Jul-2023</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                        <td>10.3</td>
                        <td>7 - 20</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
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            </text>
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               <coding>
                  <system value="http://loinc.org"/>
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                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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