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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>06-JUL-2025</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Serum or Plasma</td>
                                 <td>65.1</td>
                                 <td>65 - 99</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
                                 <td>15.7</td>
                                 <td>7 - 20</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Creatinine [Mass/volume] in Serum or Plasma</td>
                                 <td>
                                    <strong>1.6 H</strong>
                                 </td>
                                 <td>0.5 - 1.1</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Calcium [Mass/volume] in Serum or Plasma</td>
                                 <td>9.6</td>
                                 <td>8.6 - 10.3</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Serum or Plasma</td>
                                 <td>140.4</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>109.1</td>
                                 <td>98 - 110</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Serum or Plasma</td>
                                 <td>22.9</td>
                                 <td>22 - 32</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Ketones [Presence] in Urine by Test strip</td>
                                 <td>Urine ketone test = trace</td>
                                 <td/>
                                 <td/>
                              </tr>
                              <tr>
                                 <td>Hemoglobin A1c/Hemoglobin.total in Blood</td>
                                 <td>4.0</td>
                                 <td>4.0 - 5.6</td>
                                 <td>%</td>
                              </tr>
                              <tr>
                                 <td>Glucose [Mass/volume] in Blood</td>
                                 <td>
                                    <strong>65.1 L</strong>
                                 </td>
                                 <td>70 - 100</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Urea nitrogen [Mass/volume] in Blood</td>
                                 <td>15.7</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>9.6</td>
                                 <td>8.5 - 10.5</td>
                                 <td>mg/dL</td>
                              </tr>
                              <tr>
                                 <td>Sodium [Moles/volume] in Blood</td>
                                 <td>140.4</td>
                                 <td>135 - 145</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Potassium [Moles/volume] in Blood</td>
                                 <td>4.0</td>
                                 <td>3.5 - 5.1</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Chloride [Moles/volume] in Blood</td>
                                 <td>
                                    <strong>109.1 H</strong>
                                 </td>
                                 <td>98 - 107</td>
                                 <td>mmol/L</td>
                              </tr>
                              <tr>
                                 <td>Carbon dioxide, total [Moles/volume] in Blood</td>
                                 <td>22.9</td>
                                 <td>22 - 29</td>
                                 <td>mmol/L</td>
                              </tr>
                           </tbody>
                        </table>
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               <section>
                  <title value="Urinalysis"/>
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                        <display value="Urinalysis studies (set)"/>
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                     <div xmlns="http://www.w3.org/1999/xhtml">
                        <h3>Urinalysis</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>06-JUL-2025</th>
                                 <th>Reference Range</th>
                                 <th>Unit</th>
                              </tr>
                           </thead>
                           <tbody>
                              <tr>
                                 <td>Glucose [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>1.9 H</strong>
                                 </td>
                                 <td>0 - 0</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>1.3</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>
                                    <strong>7.1 H</strong>
                                 </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>5.7</td>
                                 <td>4.5 - 8.0</td>
                                 <td>pH</td>
                              </tr>
                              <tr>
                                 <td>Protein [Mass/volume] in Urine by Test strip</td>
                                 <td>
                                    <strong>117.3 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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                  <title value="Specimen information"/>
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                     <status value="generated"/>
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                        <h3>Specimen information</h3>
                        <table class="hl7__eu__lab__report">
                           <thead>
                              <tr>
                                 <th>Test</th>
                                 <th>06-JUL-2025</th>
                                 <th>Specimen</th>
                                 <th/>
                              </tr>
                           </thead>
                           <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/>
                              </tr>
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               <title value="Annotation comment"/>
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                     <display value="Annotation comment [Interpretation] Narrative"/>
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                     <h3>Annotation</h3>
                     <table class="hl7__eu__lab__report">
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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 mild hypercreatininemia, proteinuria, glycosuria, ketonuria, and low urine specific gravity, with cloudy, brown, ammoniacal urine but no leukocytes or nitrites. Blood glucose and HbA1c are low-normal, suggesting no chronic hyperglycemia. Findings may indicate possible renal dysfunction (tubular/glomerular), and the urine abnormalities could suggest acute kidney injury or nephrotic syndrome. Recommend further renal evaluation and correlation with clinical findings.</td>
                        </tr>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
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               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
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               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Lara Baum</td>
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                        <system value="urn:iso:std:iso:3166"/>
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                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="3227-921774-2"/>
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            <identifier>
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                     <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="2507b767-7e2c-e22c-1dd6-7e3ee5b7f954"/>
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               <text value="Lara Baum"/>
               <family value="Baum"/>
               <given value="Lara"/>
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            <telecom>
               <system value="phone"/>
               <value value="+49(0)0013 16572"/>
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            <gender value="female"/>
            <birthDate value="1969-12-10"/>
            <address>
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               <line value="Hans-Wolfgang-Klingelhöfer-Gasse 2-9"/>
               <city value="Freising"/>
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               <country value="Germany"/>
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               <value value="5462aab3-46a2-4da7-9c4f-e56b594cb2e3"/>
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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:3a0c94f1-f1fc-439e-acf0-452ff107f98f"/>
               <display value="Lara Baum"/>
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            <requester>
               <reference value="urn:uuid:2aef67ba-f2ef-4312-99ab-b116d31686f9"/>
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            <reasonCode>
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                  <system value="http://snomed.info/sct"/>
                  <code value="239873007"/>
                  <display value="Osteoarthritis of knee"/>
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            </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="431855005"/>
                  <display value="Chronic kidney disease stage 1"/>
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            </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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            <specimen>
               <reference value="urn:uuid:c0a34c1c-8639-4bce-9c14-78b272b41bcb"/>
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         <PractitionerRole>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Role Id: 2aef67ba-f2ef-4312-99ab-b116d31686f9</div>
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            <organization>
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         <Organization>
            <id value="8764c277-3fa2-4c78-a1b1-65ad82cc7647"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provider Organization: KfH-Nierenzentrum am Klinikum Freising</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="bc4551f9-50e6-4e04-86fb-4bd0dea1f8e3"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name value="KfH-Nierenzentrum am Klinikum Freising"/>
            <address>
               <line value="Alois-Steinecker-Straße 16"/>
               <city value="Freising"/>
               <postalCode value="85354"/>
               <country value="Germany"/>
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         </Organization>
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         <Specimen>
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               <profile value="http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"/>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Specimen</th>
                        <th>Collection Date</th>
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                     <tr>
                        <td>Acellular blood (serum or plasma) specimen</td>
                        <td>
                           <span class="nb">06-Jul-2025</span>
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               </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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               <collectedDateTime value="2025-07-06"/>
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         <Specimen>
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                  <table class="hl7__eu__lab__report">
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                        <th>Specimen</th>
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                     <tr>
                        <td>Urine specimen</td>
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                           <span class="nb">06-Jul-2025</span>
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               </div>
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                  <system value="http://snomed.info/sct"/>
                  <code value="122575003"/>
                  <display value="Urine specimen"/>
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               <collectedDateTime value="2025-07-06"/>
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                        <td>Whole blood specimen (specimen)</td>
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                  <code value="258580003"/>
                  <display value="Whole blood specimen (specimen)"/>
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                        <th>Test</th>
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                        <td>Glucose [Mass/volume] in Serum or Plasma</td>
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                        <td>65 - 99</td>
                        <td/>
                        <td>mg/dL</td>
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                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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                  <display value="Glucose [Mass/volume] in Serum or Plasma"/>
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               <text value="Glucose [Mass/volume] in Serum or Plasma"/>
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               <display value="Lara Baum"/>
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                     <tr>
                        <td>Urea nitrogen [Mass/volume] in Serum or Plasma</td>
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                        <td>7 - 20</td>
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                        <td>mg/dL</td>
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               <text value="Urea nitrogen [Mass/volume] in Serum or Plasma"/>
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               <display value="Lara Baum"/>
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                     <tr>
                        <td>Creatinine [Mass/volume] in Serum or Plasma</td>
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                        <td>0.5 - 1.1</td>
                        <td>H</td>
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                  <table class="hl7__eu__lab__report">
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                        <td>Calcium [Mass/volume] in Serum or Plasma</td>
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                        <td>140.4</td>
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               <name value="SYNDERAI Synthetic Generator"/>
               <type value="manufacturer-name"/>
            </deviceName>
            <version>
               <value value="5.0"/>
            </version>
         </Device>
      </resource>
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   <entry>
      <fullUrl value="urn:uuid:81eb0e4d-7717-407d-bbb7-0e869a75eb5a"/>
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            <id value="81eb0e4d-7717-407d-bbb7-0e869a75eb5a"/>
            <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:3a0c94f1-f1fc-439e-acf0-452ff107f98f"/>
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            <target>
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            <target>
               <reference value="urn:uuid:8764c277-3fa2-4c78-a1b1-65ad82cc7647"/>
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            <recorded value="2025-07-06T06:04:55Z"/>
            <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"/>
               </type>
               <who>
                  <reference value="urn:uuid:c7e485bb-22a7-4196-a70b-ffd2defedbfc"/>
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         </Provenance>
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      <fullUrl value="urn:uuid:e3997f08-b445-45d8-b184-2ce57945dd7c"/>
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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">Laboratory Role Id: e3997f08-b445-45d8-b184-2ce57945dd7c</div>
            </text>
            <practitioner>
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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"/>
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                  <display value="HL7 Europe"/>
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            <name>
               <family value="Ample"/>
               <given value="Ex"/>
               <prefix value="dr"/>
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            <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>