<Bundle xmlns="http://hl7.org/fhir">
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      <value value="30d1e19a-d462-4a6a-936b-5163b000cfff"/>
      <assigner>
         <display value="HL7 Europe"/>
      </assigner>
   </identifier>
   <type value="document"/>
   <timestamp value="2016-07-30T19:08:38Z"/>
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            <text>
               <status value="empty"/>
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            <extension url="http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference">
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            <type>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="11502-2"/>
                  <display value="Laboratory report"/>
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               <text value="Laboratory Report"/>
            </type>
            <category>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="26436-6"/>
                  <display value="Laboratory studies (set)"/>
               </coding>
            </category>
            <subject>
               <reference value="urn:uuid:8ff44e03-a064-4732-8e13-57009c9d8f48"/>
               <display value="Danny Smith"/>
            </subject>
            <date value="2016-07-30T19:08:38Z"/>
            <author>
               <reference value="urn:uuid:011fc960-c893-4c65-a901-3d9204895402"/>
            </author>
            <title value="Laboratory Report"/>
            <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>30-JUL-2016</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>
                                    <strong>6.1 H</strong>
                                 </td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>70.4</td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>14.8</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>138.8</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.4</td>
                                 <td>3.5 - 5.0</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>103.9</td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>25.2</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
                     </div>
                  </text>
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                     <reference value="urn:uuid:8666e16e-9b87-4a04-b58a-8556134ab224"/>
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                  <entry>
                     <reference value="urn:uuid:d4958963-ca95-4fb2-9502-d871e809f029"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:71ae0a32-3771-4a80-8996-8f94615136c4"/>
                  </entry>
                  <entry>
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                  </entry>
                  <entry>
                     <reference value="urn:uuid:f36f4026-060d-4c8b-8db6-e896d4017608"/>
                  </entry>
                  <entry>
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                  </entry>
                  <entry>
                     <reference value="urn:uuid:d6eda06b-9716-46a0-8f1d-187dcd91d9b7"/>
                  </entry>
                  <entry>
                     <reference value="urn:uuid:c45044e6-8777-4d6e-9317-9668564473a3"/>
                  </entry>
               </section>
            </section>
            <section>
               <title value="Annotation comment"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="48767-8"/>
                     <display value="Annotation comment [Interpretation] Narrative"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <h3>Annotation</h3>
                     <table class="hl7__eu__lab__report">
                        <tr>
                           <th>Conclusion and Recommendations based on this report and previous findings known to us</th>
                        </tr>
                        <tr>
                           <td>The patient shows mildly elevated HbA1c, suggesting impaired glucose metabolism or prediabetes, and a slightly increased creatinine, which may indicate early renal impairment. Other parameters are within normal limits. Recommend further evaluation of glycemic control and renal function, with follow-up testing as appropriate.</td>
                        </tr>
                     </table>
                  </div>
               </text>
            </section>
         </Composition>
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      <fullUrl value="urn:uuid:8c8f9712-6889-42c7-a3cb-b1ef33d53d4f"/>
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         <DiagnosticReport>
            <id value="8c8f9712-6889-42c7-a3cb-b1ef33d53d4f"/>
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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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            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="85957e0a-803b-4d31-82bf-a6d0965283db"/>
               <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:8ff44e03-a064-4732-8e13-57009c9d8f48"/>
               <display value="Danny Smith"/>
            </subject>
            <specimen>
               <reference value="urn:uuid:cfc73c0c-76ab-4063-a060-e71615ae0b31"/>
            </specimen>
            <result>
               <reference value="urn:uuid:8666e16e-9b87-4a04-b58a-8556134ab224"/>
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               <reference value="urn:uuid:319f3883-0688-4672-b996-0d45cc73f173"/>
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            <result>
               <reference value="urn:uuid:71ae0a32-3771-4a80-8996-8f94615136c4"/>
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            <result>
               <reference value="urn:uuid:6a145461-0a07-4155-a309-156f063211e1"/>
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            <result>
               <reference value="urn:uuid:f36f4026-060d-4c8b-8db6-e896d4017608"/>
            </result>
            <result>
               <reference value="urn:uuid:de154761-bfbb-41a1-91dc-610f9534d504"/>
            </result>
            <result>
               <reference value="urn:uuid:d6eda06b-9716-46a0-8f1d-187dcd91d9b7"/>
            </result>
            <result>
               <reference value="urn:uuid:c45044e6-8777-4d6e-9317-9668564473a3"/>
            </result>
         </DiagnosticReport>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:8ff44e03-a064-4732-8e13-57009c9d8f48"/>
      <resource>
         <Patient>
            <id value="8ff44e03-a064-4732-8e13-57009c9d8f48"/>
            <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>Danny Smith</td>
                        <td>male</td>
                        <td>24-Dec-1982</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="7706-924408-3"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               </type>
               <system value="http://local.setting.eu/identifier"/>
               <value value="c13f250a-7524-143f-bbe4-57245775ad3e"/>
            </identifier>
            <name>
               <text value="Danny Smith"/>
               <family value="Smith"/>
               <given value="Danny"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+44131 4960107"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1982-12-24"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Studio 6"/>
               <line value="Ford centers"/>
               <city value="London"/>
               <postalCode value="SW1A"/>
               <country value="United Kingdom"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:303507b2-d4fe-4f39-b7a6-b81db694d600"/>
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         <ServiceRequest>
            <id value="303507b2-d4fe-4f39-b7a6-b81db694d600"/>
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               <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="73e4fbf9-b2c7-4032-b59b-80852b9b1169"/>
            </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:8ff44e03-a064-4732-8e13-57009c9d8f48"/>
               <display value="Danny Smith"/>
            </subject>
            <requester>
               <reference value="urn:uuid:c3a4d16c-6c7f-431a-a393-3c5082c0ebdb"/>
            </requester>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="271737000"/>
                  <display value="Anemia"/>
               </coding>
            </reasonCode>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="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="40055000"/>
                  <display value="Chronic sinusitis"/>
               </coding>
            </reasonCode>
            <specimen>
               <reference value="urn:uuid:cfc73c0c-76ab-4063-a060-e71615ae0b31"/>
            </specimen>
         </ServiceRequest>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:c3a4d16c-6c7f-431a-a393-3c5082c0ebdb"/>
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         <PractitionerRole>
            <id value="c3a4d16c-6c7f-431a-a393-3c5082c0ebdb"/>
            <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: c3a4d16c-6c7f-431a-a393-3c5082c0ebdb</div>
            </text>
            <organization>
               <reference value="urn:uuid:281fc56b-43a8-43b8-bbfd-0730a11ccbba"/>
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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: Evelina Children's Hospital</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="dd72ea44-a6e4-4c19-b936-4f1ba2eaebbb"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            <name value="Evelina Children's Hospital"/>
            <address>
               <city value="London"/>
               <postalCode value="SE1 7"/>
               <country value="United Kingdom"/>
            </address>
         </Organization>
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   <entry>
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         <Specimen>
            <id value="cfc73c0c-76ab-4063-a060-e71615ae0b31"/>
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            <text>
               <status value="generated"/>
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                  <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">30-Jul-2016</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="2016-07-30"/>
            </collection>
         </Specimen>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:8666e16e-9b87-4a04-b58a-8556134ab224"/>
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         <Observation>
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            <text>
               <status value="generated"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>30-Jul-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                        <td>6.1</td>
                        <td>4.0 - 5.6</td>
                        <td>H</td>
                        <td>%</td>
                     </tr>
                  </table>
               </div>
            </text>
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               <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:8ff44e03-a064-4732-8e13-57009c9d8f48"/>
               <display value="Danny Smith"/>
            </subject>
            <effectiveDateTime value="2016-07-30T17:08:38Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
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            </valueQuantity>
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                  <display value="High"/>
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            <specimen>
               <reference value="urn:uuid:cfc73c0c-76ab-4063-a060-e71615ae0b31"/>
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            <referenceRange>
               <low>
                  <value value="4"/>
                  <system value="http://unitsofmeasure.org"/>
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               <high>
                  <value value="5.6"/>
                  <system value="http://unitsofmeasure.org"/>
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      </resource>
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         <Observation>
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            <text>
               <status value="generated"/>
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                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>30-Jul-2016</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Glucose [Mass/volume] in Blood</td>
                        <td>70.4</td>
                        <td>70 - 100</td>
                        <td/>
                        <td>mg/dL</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
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            <code>
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                  <system value="http://loinc.org"/>
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                  <display value="Glucose [Mass/volume] in Blood"/>
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               <text value="Glucose [Mass/volume] in Blood"/>
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            <subject>
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               <display value="Danny Smith"/>
            </subject>
            <effectiveDateTime value="2016-07-30T17:08:38Z"/>
            <performer>
               <display value="The Central European Lab"/>
            </performer>
            <valueQuantity>
               <value value="70.4"/>
               <unit value="mg/dL"/>
               <system value="http://unitsofmeasure.org"/>
               <code value="mg/dL"/>
            </valueQuantity>
            <specimen>
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                  <system value="http://unitsofmeasure.org"/>
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                     <tr>
                        <th>Test</th>
                        <th>30-Jul-2016</th>
                        <th>Reference Range</th>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Blood</td>
                        <td>14.8</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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               <coding>
                  <system value="http://loinc.org"/>
                  <code value="6299-2"/>
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               <text value="Urea nitrogen [Mass/volume] in Blood"/>
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                        <td>Creatinine [Mass/volume] in Blood</td>
                        <td>1.4</td>
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               <text value="Creatinine [Mass/volume] in Blood"/>
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                        <td>Calcium [Mass/volume] in Blood</td>
                        <td>8.9</td>
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                  <code value="49765-1"/>
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                        <td>Sodium [Moles/volume] in Blood</td>
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                        <td>Potassium [Moles/volume] in Blood</td>
                        <td>4.4</td>
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                        <td>Chloride [Moles/volume] in Blood</td>
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