{
  "resourceType": "Bundle",
  "id": "f709a05a-341c-4ba5-b2c1-2e09cc9063e0",
  "meta": {
    "profile": [
      "http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab"
    ]
  },
  "identifier": {
    "assigner": {
      "display": "HL7 Europe"
    },
    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "11e6930b-18d6-4536-ac22-b4f9a9d45bd9"
  },
  "entry": [
    {
      "fullUrl": "urn:uuid:a8102c19-86c4-4a2e-834c-484bd3554653",
      "resource": {
        "resourceType": "Composition",
        "id": "a8102c19-86c4-4a2e-834c-484bd3554653",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab"
          ]
        },
        "extension": [
          {
            "url": "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference",
            "valueReference": {
              "reference": "urn:uuid:ac2486e3-9b2e-4ff6-bcbb-e78a3c29febf"
            }
          }
        ],
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
          },
          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "efd38b12-d238-4af5-a288-5ab4620ded62"
        },
        "author": [
          {
            "reference": "urn:uuid:f61128be-53ad-4915-bbf3-17e48074e9f8"
          }
        ],
        "category": [
          {
            "coding": [
              {
                "code": "26436-6",
                "system": "http://loinc.org",
                "display": "Laboratory studies (set)"
              }
            ]
          }
        ],
        "type": {
          "coding": [
            {
              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
            }
          ],
          "text": "Laboratory Report"
        },
        "section": [
          {
            "code": {
              "coding": [
                {
                  "code": "26436-6",
                  "system": "http://loinc.org",
                  "display": "Laboratory studies (set)"
                }
              ],
              "text": "Laboratory studies"
            },
            "section": [
              {
                "code": {
                  "coding": [
                    {
                      "code": "18719-5",
                      "system": "http://loinc.org",
                      "display": "Chemistry studies (set)"
                    }
                  ],
                  "text": "Chemistry"
                },
                "entry": [
                  {
                    "reference": "urn:uuid:4d5e51b5-e8c3-4962-b5a3-f7de9f7c56b4"
                  }
                ],
                "text": {
                  "status": "generated",
                  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Chemistry</h3><table class=\"hl7__eu__lab__report\"><thead><tr><th>Test</th><th>03-JUL-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr></thead><tbody><tr><td>Choriogonadotropin [Presence] in Urine</td><td>Negative</td><td></td><td></td></tr></tbody></table></div>"
                },
                "title": "Chemistry"
              }
            ],
            "title": "Laboratory Report"
          },
          {
            "text": {
              "status": "generated",
              "div": "<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>Choriogonadotropin (hCG) is negative in urine, which is expected for a 50-year-old male. No abnormal findings from a clinical laboratory perspective. No further action required based on this result.</td></tr></table></div>"
            },
            "code": {
              "coding": [
                {
                  "code": "48767-8",
                  "system": "http://loinc.org",
                  "display": "Annotation comment [Interpretation] Narrative"
                }
              ]
            },
            "title": "Annotation comment"
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9412fb8e-81bf-46bc-b4db-f93e6b3344c1",
          "display": "Tom Hayward"
        },
        "date": "2025-07-03T09:17:13Z",
        "title": "Laboratory Report",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:ac2486e3-9b2e-4ff6-bcbb-e78a3c29febf",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "ac2486e3-9b2e-4ff6-bcbb-e78a3c29febf",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "efd38b12-d238-4af5-a288-5ab4620ded62"
          },
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "a7a73606-9ab9-4ad6-b780-be024ba60b9f"
          }
        ],
        "extension": [
          {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
            "valueReference": {
              "reference": "urn:uuid:a8102c19-86c4-4a2e-834c-484bd3554653"
            }
          }
        ],
        "category": [
          {
            "coding": [
              {
                "code": "26436-6",
                "system": "http://loinc.org",
                "display": "Laboratory studies (set)"
              }
            ]
          }
        ],
        "specimen": [
          {
            "reference": "urn:uuid:2b8ace9d-5037-43b8-9478-63282cf2a145"
          }
        ],
        "result": [
          {
            "reference": "urn:uuid:4d5e51b5-e8c3-4962-b5a3-f7de9f7c56b4"
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "registered",
        "code": {
          "coding": [
            {
              "code": "11502-2",
              "system": "http://loinc.org",
              "display": "Laboratory report"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:9412fb8e-81bf-46bc-b4db-f93e6b3344c1",
          "display": "Tom Hayward"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:9412fb8e-81bf-46bc-b4db-f93e6b3344c1",
      "resource": {
        "resourceType": "Patient",
        "id": "9412fb8e-81bf-46bc-b4db-f93e6b3344c1",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "3376-612163-7"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "8e2c4509-b594-9ec4-42db-847eccf28678"
          }
        ],
        "name": [
          {
            "given": [
              "Tom"
            ],
            "family": "Hayward",
            "text": "Tom Hayward"
          }
        ],
        "address": [
          {
            "line": [
              "391 Dean locks"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "M1",
            "city": "Manchester",
            "country": "United Kingdom"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+44(0)808 1570544"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "GB",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Tom Hayward</td><td>male</td><td>07-Apr-1975</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1975-04-07"
      }
    },
    {
      "fullUrl": "urn:uuid:8cb56441-42f8-4abe-9fab-cda295a06ffa",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "8cb56441-42f8-4abe-9fab-cda295a06ffa",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"
          ]
        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "d399bfd9-2356-4a72-af78-959a60ded877"
          }
        ],
        "specimen": [
          {
            "reference": "urn:uuid:2b8ace9d-5037-43b8-9478-63282cf2a145"
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "code": "431857002",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 4"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "433144002",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 3"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "157141000119108",
                "system": "http://snomed.info/sct",
                "display": "Proteinuria due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "414545008",
                "system": "http://snomed.info/sct",
                "display": "Ischemic heart disease"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "55822004",
                "system": "http://snomed.info/sct",
                "display": "Hyperlipidemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "431856006",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 2"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "90781000119102",
                "system": "http://snomed.info/sct",
                "display": "Microalbuminuria due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "127013003",
                "system": "http://snomed.info/sct",
                "display": "Disorder of kidney due to diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "431855005",
                "system": "http://snomed.info/sct",
                "display": "Chronic kidney disease stage 1"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "1551000119108",
                "system": "http://snomed.info/sct",
                "display": "Nonproliferative retinopathy due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "422034002",
                "system": "http://snomed.info/sct",
                "display": "Retinopathy due to type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "271737000",
                "system": "http://snomed.info/sct",
                "display": "Anemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "80394007",
                "system": "http://snomed.info/sct",
                "display": "Hyperglycemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "237602007",
                "system": "http://snomed.info/sct",
                "display": "Metabolic syndrome X"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "302870006",
                "system": "http://snomed.info/sct",
                "display": "Hypertriglyceridemia"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "44054006",
                "system": "http://snomed.info/sct",
                "display": "Type 2 diabetes mellitus"
              }
            ]
          },
          {
            "coding": [
              {
                "code": "59621000",
                "system": "http://snomed.info/sct",
                "display": "Essential hypertension"
              }
            ]
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "108252007",
              "system": "http://snomed.info/sct",
              "display": "Laboratory procedure"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:9412fb8e-81bf-46bc-b4db-f93e6b3344c1",
          "display": "Tom Hayward"
        },
        "requester": {
          "reference": "urn:uuid:f5f4be98-983f-49f4-9bf9-9d32ed9b4d9a"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f5f4be98-983f-49f4-9bf9-9d32ed9b4d9a",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "f5f4be98-983f-49f4-9bf9-9d32ed9b4d9a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Role Id: f5f4be98-983f-49f4-9bf9-9d32ed9b4d9a</div>"
        },
        "organization": {
          "reference": "urn:uuid:8293e38b-13d0-4f68-bd77-c2ee60985e81"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8293e38b-13d0-4f68-bd77-c2ee60985e81",
      "resource": {
        "resourceType": "Organization",
        "id": "8293e38b-13d0-4f68-bd77-c2ee60985e81",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "6569d5ce-9131-487e-aa6d-47d639d810da"
          }
        ],
        "address": [
          {
            "line": [
              "City Road 204"
            ],
            "city": "Manchester",
            "postalCode": "M3 3",
            "country": "United Kingdom"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provider Organization: Cornbrook Medical Practice</div>"
        },
        "name": "Cornbrook Medical Practice"
      }
    },
    {
      "fullUrl": "urn:uuid:2b8ace9d-5037-43b8-9478-63282cf2a145",
      "resource": {
        "resourceType": "Specimen",
        "id": "2b8ace9d-5037-43b8-9478-63282cf2a145",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
          ]
        },
        "collection": {
          "collectedDateTime": "2025-07-03"
        },
        "text": {
          "status": "generated",
          "div": "<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>Urine specimen</td><td><span class=\"nb\">03-Jul-2025</span></td></tr></table></div>"
        },
        "type": {
          "coding": [
            {
              "code": "122575003",
              "system": "http://snomed.info/sct",
              "display": "Urine specimen"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4d5e51b5-e8c3-4962-b5a3-f7de9f7c56b4",
      "resource": {
        "resourceType": "Observation",
        "id": "4d5e51b5-e8c3-4962-b5a3-f7de9f7c56b4",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "laboratory",
                "system": "http://terminology.hl7.org/CodeSystem/observation-category"
              }
            ]
          }
        ],
        "performer": [
          {
            "display": "The Central European Lab"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "2106-3",
              "system": "http://loinc.org",
              "display": "Choriogonadotropin [Presence] in Urine"
            }
          ],
          "text": "Choriogonadotropin [Presence] in Urine"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__eu__lab__report\"><tr><th>Test</th><th>03-Jul-2025</th><th>Reference&#xA0;Range</th><th>Unit</th></tr><tr><td>Choriogonadotropin [Presence] in Urine</td><td>Negative</td></tr></table></div>"
        },
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9412fb8e-81bf-46bc-b4db-f93e6b3344c1",
          "display": "Tom Hayward"
        },
        "effectiveDateTime": "2025-07-03T07:17:13Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "260385009",
              "system": "http://snomed.info/sct",
              "display": "Negative"
            }
          ]
        },
        "specimen": {
          "reference": "urn:uuid:2b8ace9d-5037-43b8-9478-63282cf2a145"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f9861b67-2254-4609-bb2c-5672be640f79",
      "resource": {
        "resourceType": "Device",
        "id": "f9861b67-2254-4609-bb2c-5672be640f79",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
      }
    },
    {
      "fullUrl": "urn:uuid:0145acc1-6d78-4f84-b872-34be038153d4",
      "resource": {
        "resourceType": "Provenance",
        "id": "0145acc1-6d78-4f84-b872-34be038153d4",
        "target": [
          {
            "reference": "urn:uuid:9412fb8e-81bf-46bc-b4db-f93e6b3344c1"
          },
          {
            "reference": "urn:uuid:a8102c19-86c4-4a2e-834c-484bd3554653"
          },
          {
            "reference": "urn:uuid:f61128be-53ad-4915-bbf3-17e48074e9f8"
          },
          {
            "reference": "urn:uuid:cdca077a-ca16-4137-880c-50561388b6cd"
          },
          {
            "reference": "urn:uuid:f5f4be98-983f-49f4-9bf9-9d32ed9b4d9a"
          },
          {
            "reference": "urn:uuid:8293e38b-13d0-4f68-bd77-c2ee60985e81"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:f9861b67-2254-4609-bb2c-5672be640f79"
            }
          }
        ],
        "reason": [
          {
            "coding": [
              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2025-07-03T09:17:13Z"
      }
    },
    {
      "fullUrl": "urn:uuid:f61128be-53ad-4915-bbf3-17e48074e9f8",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "f61128be-53ad-4915-bbf3-17e48074e9f8",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Role Id: f61128be-53ad-4915-bbf3-17e48074e9f8</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:cdca077a-ca16-4137-880c-50561388b6cd"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:cdca077a-ca16-4137-880c-50561388b6cd",
      "resource": {
        "resourceType": "Practitioner",
        "id": "cdca077a-ca16-4137-880c-50561388b6cd",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "300d878c-77ee-406a-8a23-0039ba7ae9f6"
          }
        ],
        "name": [
          {
            "prefix": [
              "dr"
            ],
            "given": [
              "Ex"
            ],
            "family": "Ample"
          }
        ],
        "address": [
          {
            "line": [
              "Laboratoire Central Européenne",
              "Boulevard du Jardin Botanique 32"
            ],
            "postalCode": "1000",
            "city": "Brussels",
            "country": "Belgium"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory: Laboratoire Central Européenne, 1000 Brussels, Belgium</div>"
        }
      }
    }
  ],
  "type": "document",
  "timestamp": "2025-07-03T09:17:13Z"
}