intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:d5ed7954-3089-478b-b2e4-fdeb53282b55"/> </custodian> <section> <title value="Synthesis"/> <code> <coding> <system value="http://loinc.org"/> <code value="67781-5"/> <display value="Summarization of encounter note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Severe aortic stenosis, valve replacement performed</div> </text> </section> <section> <title value="Hospital course note"/> <code> <coding> <system value="http://loinc.org"/> <code value="8648-8"/> <display value="Hospital course note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Dear colleague, I am writing to inform you about the hospital course of your patient, an 81-year-old male, admitted on 22/06/2021 due to severe aortic valve stenosis. Upon admission, echocardiography confirmed critical aortic stenosis with significantly reduced valve area and elevated mean pressure gradient. Cardiac catheterization was performed to assess coronary artery status prior to intervention. Following multidisciplinary heart team discussion, given the patient's age and surgical risk profile, the decision was made to proceed with transcatheter aortic valve replacement (TAVR), which was performed successfully on 23/06/2021 without periprocedural complications. Post-procedural echocardiography demonstrated excellent prosthetic valve function with normalised gradients. The patient recovered well and was discharged in stable condition. Please continue antiplatelet therapy and arrange follow-up echocardiography in three months. Do not hesitate to contact me should you require further information.</div> </text> </section> <section> <title value="Diagnosis at Discharge"/> <code> <coding> <system value="http://loinc.org"/> <code value="11535-2"/> <display value="Hospital discharge diagnosis note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__hdr"> <tr> <td>Aortic (valve) stenosis</td> <td> <span class="nb">23-Jun-2021</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:53bc7c9a-b995-4232-adc9-c5d4b5e96b98"/> </entry> </section> <section> <title value="Significant procedures"/> <code> <coding> <system value="http://loinc.org"/> <code value="10185-7"/> <display value="Hospital discharge procedure note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__hdr"> <tr> <td>Referral to cardiac surgery service (procedure)</td> <td> <span class="nb">22-Jun-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:8776e99e-5cb1-4c92-9965-5be66ab4d004"/> </entry> <entry> <reference value="urn:uuid:dc3bc2ed-45a9-423d-86a9-927f6d892d74"/> </entry> <entry> <reference value="urn:uuid:6fa08d39-43d8-4e11-adec-212b6df72fa0"/> </entry> <entry> <reference value="urn:uuid:74c6fc07-844a-45b4-a867-3eff5a982a51"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:2612bb5e-70ad-4a19-96ee-43c9056542d0"/> <resource> <Patient> <id value="2612bb5e-70ad-4a19-96ee-43c9056542d0"/> <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>Roger Lefèvre</td> <td>male</td> <td>26-Jun-1944</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="FR"/> </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="4279-145450-9"/> </identifier> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="http://local.setting.eu/identifier"/> <value value="54767e78-1ba4-568e-5303-4d4d6590afcc"/> </identifier> <name> <text value="Roger Lefèvre"/> <family value="Lefèvre"/> <given value="Roger"/> </name> <telecom> <system value="phone"/> <value value="+33 (0)2 51 71 25 38"/> </telecom> <gender value="male"/> <birthDate value="1944-06-26"/> <address> <use value="home"/> <type value="physical"/> <line value="56, boulevard Julie Lemaître"/> <city value="Mahe-sur-Dijoux"/> <postalCode value="97480"/> <country value="France"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:9caaab33-e1a2-4895-a5b9-92bf198c3174"/> <resource> <Encounter> <id value="9caaab33-e1a2-4895-a5b9-92bf198c3174"/> <meta> <profile value="http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Centre Medical Mon Caprice, , France</td> <td>22-06-2021 - 23-06-2021</td> <td> <ul> <li>Aortic valve stenosis (disorder)</li> </ul> </td> </tr> </table> </div> </text> <status value="completed"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <subject> <reference value="Patient/2612bb5e-70ad-4a19-96ee-43c9056542d0"/> <display value="Roger Lefèvre"/> </subject> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="PPRF"/> <display value="primary performer"/> </coding> </type> <period> <end value="2021-06-23"/> </period> <individual> <reference value="urn:uuid:b90ab065-3d6f-4ef9-bea0-c2788ce2cdc6"/> </individual> </participant> <period> <start value="2021-06-23"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="60573004"/> <display value="Aortic valve stenosis (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:d5ed7954-3089-478b-b2e4-fdeb53282b55"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:9ae539fc-5f87-4d77-85e6-15705abf1b74"/> <resource> <PractitionerRole> <id value="9ae539fc-5f87-4d77-85e6-15705abf1b74"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Hospital Role Id: 9ae539fc-5f87-4d77-85e6-15705abf1b74</div> </text> <practitioner> <reference value="urn:uuid:b90ab065-3d6f-4ef9-bea0-c2788ce2cdc6"/> </practitioner> <organization> <reference value="urn:uuid:d5ed7954-3089-478b-b2e4-fdeb53282b55"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:d5ed7954-3089-478b-b2e4-fdeb53282b55"/> <resource> <Organization> <id value="d5ed7954-3089-478b-b2e4-fdeb53282b55"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Hospital: Centre Medical Mon Caprice, , France</div> </text> <name value="Centre Medical Mon Caprice"/> <address> <country value="France"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:b90ab065-3d6f-4ef9-bea0-c2788ce2cdc6"/> <resource> <Practitioner> <id value="b90ab065-3d6f-4ef9-bea0-c2788ce2cdc6"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Practitioner in Hospital: given_name family_name</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="aa9b400a-416e-4776-b167-46bef939081d"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="family_name"/> <given value="given_name"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:53bc7c9a-b995-4232-adc9-c5d4b5e96b98"/> <resource> <Condition> <id value="53bc7c9a-b995-4232-adc9-c5d4b5e96b98"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Aortic (valve) stenosis</td> <td> <span class="nb">23-Jun-2021</span> </td> <td>active</td> </tr> </table> </div> </text> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="encounter-diagnosis"/> <display value="Encounter Diagnosis"/> </coding> </category> <code> <coding> <system value="http://hl7.org/fhir/sid/icd-10"/> <code value="I35.0"/> <display value="Aortic (valve) stenosis"/> </coding> <text value="Aortic (valve) stenosis"/> </code> <subject> <reference value="urn:uuid:2612bb5e-70ad-4a19-96ee-43c9056542d0"/> <display value="Roger Lefèvre"/> </subject> <onsetDateTime value="2021-06-23"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:8776e99e-5cb1-4c92-9965-5be66ab4d004"/> <resource> <Procedure> <id value="8776e99e-5cb1-4c92-9965-5be66ab4d004"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>History AND physical examination (procedure)</td> <td> <span class="nb">22-Jun-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="63332003"/> <display value="History AND physical examination"/> </coding> </code> <subject> <reference value="urn:uuid:2612bb5e-70ad-4a19-96ee-43c9056542d0"/> <display value="Roger Lefèvre"/> </subject> <performedDateTime value="2021-06-22"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:dc3bc2ed-45a9-423d-86a9-927f6d892d74"/> <resource> <Procedure> <id value="dc3bc2ed-45a9-423d-86a9-927f6d892d74"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Operative procedure planned (situation)</td> <td> <span class="nb">22-Jun-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="183976008"/> <display value="Operative procedure planned"/> </coding> </code> <subject> <reference value="urn:uuid:2612bb5e-70ad-4a19-96ee-43c9056542d0"/> <display value="Roger Lefèvre"/> </subject> <performedDateTime value="2021-06-22"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:6fa08d39-43d8-4e11-adec-212b6df72fa0"/> <resource> <Procedure> <id value="6fa08d39-43d8-4e11-adec-212b6df72fa0"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Imaging interpretation (observable entity)</td> <td> <span class="nb">22-Jun-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="282290005"/> <display value="Imaging interpretation"/> </coding> </code> <subject> <reference value="urn:uuid:2612bb5e-70ad-4a19-96ee-43c9056542d0"/> <display value="Roger Lefèvre"/> </subject> <performedDateTime value="2021-06-22"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:74c6fc07-844a-45b4-a867-3eff5a982a51"/> <resource> <Procedure> <id value="74c6fc07-844a-45b4-a867-3eff5a982a51"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Referral to cardiac surgery service (procedure)</td> <td> <span class="nb">22-Jun-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="306185001"/> <display value="Referral to cardiac surgery service"/> </coding> </code> <subject> <reference value="urn:uuid:2612bb5e-70ad-4a19-96ee-43c9056542d0"/> <display value="Roger Lefèvre"/> </subject> <performedDateTime value="2021-06-22"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:ab3db2b9-c8ce-4f0c-a6ac-68bf0c85d2a2"/> <resource> <Device> <id value="ab3db2b9-c8ce-4f0c-a6ac-68bf0c85d2a2"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">SYNDERAI Synthetic Generator v5.0</div> </text> <status value="active"/> <distinctIdentifier value="synderai-generator-50"/> <manufacturer value="SYNDERAI Project"/> <deviceName> <name value="SYNDERAI Synthetic Generator"/> <type value="manufacturer-name"/> </deviceName> <version> <value value="5.0"/> </version> </Device> </resource> </entry> <entry> <fullUrl value="urn:uuid:efe2d78b-9f1d-4a0c-9460-65283fa06931"/> <resource> <Provenance> <id value="efe2d78b-9f1d-4a0c-9460-65283fa06931"/> <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:2612bb5e-70ad-4a19-96ee-43c9056542d0"/> </target> <target> <reference value="urn:uuid:9ae539fc-5f87-4d77-85e6-15705abf1b74"/> </target> <target> <reference value="urn:uuid:b90ab065-3d6f-4ef9-bea0-c2788ce2cdc6"/> </target> <target> <reference value="urn:uuid:d5ed7954-3089-478b-b2e4-fdeb53282b55"/> </target> <recorded value="2026-03-20T18:15:17Z"/> <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"/> </coding> <text value="author"/> </type> <who> <reference value="urn:uuid:ab3db2b9-c8ce-4f0c-a6ac-68bf0c85d2a2"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>