{
  "resourceType": "Bundle",
  "id": "0b726ef5-3a77-4fbd-b11d-83562cd66f69",
  "meta": {
    "profile": [
      "http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr"
    ]
  },
  "identifier": {
    "assigner": {
      "display": "HL7 Europe"
    },
    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "baecea52-3def-4a2e-ad37-2a75b5afb446"
  },
  "entry": [
    {
      "fullUrl": "urn:uuid:2a43b021-0574-4964-8127-f0158f554ad4",
      "resource": {
        "resourceType": "Composition",
        "id": "2a43b021-0574-4964-8127-f0158f554ad4",
        "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/hdr/StructureDefinition/composition-eu-hdr"
          ]
        },
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
          },
          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "8c9a1090-1f4f-4bbb-ba57-68b9b4244e3b"
        },
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "34105-7",
              "display": "Hospital Discharge summary"
            }
          ],
          "text": "Hospital Discharge Report"
        },
        "author": [
          {
            "reference": "urn:uuid:ba3cbde5-1469-4615-a205-30fe5a121adc"
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "section": [
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Voluntary surgical sterilization, procedure completed</div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "67781-5",
                  "display": "Summarization of encounter note"
                }
              ]
            },
            "title": "Synthesis"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you regarding your patient, a 62-year-old female who was admitted on 25 September 1996 at her own request for voluntary surgical sterilization. Prior to the procedure, a thorough preoperative assessment was performed, including clinical examination, routine laboratory workup, and anaesthetic evaluation, all of which returned satisfactory results. The patient confirmed her informed consent following detailed counselling regarding the permanent nature of the procedure. On 25 September 1996, bilateral tubal ligation was performed laparoscopically under general anaesthesia without intraoperative or postoperative complications. Recovery was uneventful and the patient was discharged home on 26 September 1996 in good general condition. No further gynaecological follow-up is required unless the patient presents with concerns. Please continue routine primary care management. Yours sincerely.</div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8648-8",
                  "display": "Hospital course note"
                }
              ]
            },
            "title": "Hospital course note"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Sterilization admitted</td><td><span class=\"nb\">26-Sep-1996</span></td><td>active</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:a33c7949-dd02-4871-82a2-0107ef9d8af7"
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11535-2",
                  "display": "Hospital discharge diagnosis note"
                }
              ]
            },
            "title": "Diagnosis at Discharge"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Laparoscopic procedure</td><td><span class=\"nb\">25-Sep-1996</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:36499765-3ce0-48c0-b292-e9b6cc4db7bc"
              },
              {
                "reference": "urn:uuid:f9ccc954-1d7a-4e73-b4ce-da4ef4b681eb"
              },
              {
                "reference": "urn:uuid:82031985-4c04-401f-84ec-864e98a7b527"
              },
              {
                "reference": "urn:uuid:395e8f02-5462-4406-9e37-236452148b81"
              },
              {
                "reference": "urn:uuid:8050c150-75aa-4e76-b5b5-1239c0c84946"
              },
              {
                "reference": "urn:uuid:9a32fe5d-ea37-4025-aa1c-327313c9178e"
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10185-7",
                  "display": "Hospital discharge procedure note"
                }
              ]
            },
            "title": "Significant procedures"
          }
        ],
        "title": "Hospital Discharge Report",
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447",
          "display": "Ana Ullmann"
        },
        "custodian": {
          "reference": "urn:uuid:1bd29bdb-9c43-49c1-b716-b573497ad818"
        },
        "date": "1996-09-26T00:00:00Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447",
      "resource": {
        "resourceType": "Patient",
        "id": "9c757acc-cf2e-4ac9-a16d-fa0bf19f0447",
        "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": "4509-614820-5"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "7116add1-af61-f87c-795b-08d02e4c4817"
          }
        ],
        "name": [
          {
            "given": [
              "Ana"
            ],
            "family": "Ullmann",
            "text": "Ana Ullmann"
          }
        ],
        "address": [
          {
            "line": [
              "Ditschlerinstr. 5"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "85354",
            "city": "Freising",
            "country": "Germany"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "01994 53308"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "DE",
                      "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>Ana Ullmann</td><td>female</td><td>10-Dec-1962</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1962-12-10"
      }
    },
    {
      "fullUrl": "urn:uuid:f6201032-5084-4e53-b5cd-c50d2618ee4a",
      "resource": {
        "resourceType": "Encounter",
        "id": "f6201032-5084-4e53-b5cd-c50d2618ee4a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"
          ]
        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "code": "PPRF",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "display": "primary performer"
                  }
                ]
              }
            ],
            "period": {
              "end": "1996-09-26"
            },
            "individual": {
              "reference": "urn:uuid:17a37cc5-599a-48c6-86c0-918ca311e2bf"
            }
          }
        ],
        "period": {
          "start": "1996-09-26"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "code": "183996000",
                "system": "http://snomed.info/sct",
                "display": "Sterilization requested (situation)"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>KfH-Nierenzentrum am Klinikum Freising, Freising, Germany</td><td>25-09-1996 - 26-09-1996</td><td><ul><li>Sterilization requested (situation)</li></ul></td></tr></table></div>"
        },
        "status": "completed",
        "class": {
          "code": "IMP",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
        },
        "serviceProvider": {
          "reference": "urn:uuid:1bd29bdb-9c43-49c1-b716-b573497ad818"
        },
        "subject": {
          "reference": "Patient/9c757acc-cf2e-4ac9-a16d-fa0bf19f0447",
          "display": "Ana Ullmann"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ba3cbde5-1469-4615-a205-30fe5a121adc",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "ba3cbde5-1469-4615-a205-30fe5a121adc",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: ba3cbde5-1469-4615-a205-30fe5a121adc</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:17a37cc5-599a-48c6-86c0-918ca311e2bf"
        },
        "organization": {
          "reference": "urn:uuid:1bd29bdb-9c43-49c1-b716-b573497ad818"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:1bd29bdb-9c43-49c1-b716-b573497ad818",
      "resource": {
        "resourceType": "Organization",
        "id": "1bd29bdb-9c43-49c1-b716-b573497ad818",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"
          ]
        },
        "address": [
          {
            "city": "Freising",
            "postalCode": "85354",
            "country": "Germany"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: KfH-Nierenzentrum am Klinikum Freising, 85354 Freising, Germany</div>"
        },
        "name": "KfH-Nierenzentrum am Klinikum Freising"
      }
    },
    {
      "fullUrl": "urn:uuid:17a37cc5-599a-48c6-86c0-918ca311e2bf",
      "resource": {
        "resourceType": "Practitioner",
        "id": "17a37cc5-599a-48c6-86c0-918ca311e2bf",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "79f0e92e-8471-46f0-a377-128bcecc680d"
          }
        ],
        "name": [
          {
            "given": [
              "Liesbeth"
            ],
            "family": "Budig"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: Liesbeth Budig</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a33c7949-dd02-4871-82a2-0107ef9d8af7",
      "resource": {
        "resourceType": "Condition",
        "id": "a33c7949-dd02-4871-82a2-0107ef9d8af7",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "encounter-diagnosis",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "Z30.2",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Sterilization admitted"
            }
          ],
          "text": "Sterilization admitted"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Sterilization admitted</td><td><span class=\"nb\">26-Sep-1996</span></td><td>active</td></tr></table></div>"
        },
        "onsetDateTime": "1996-09-26",
        "subject": {
          "reference": "urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447",
          "display": "Ana Ullmann"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:36499765-3ce0-48c0-b292-e9b6cc4db7bc",
      "resource": {
        "resourceType": "Procedure",
        "id": "36499765-3ce0-48c0-b292-e9b6cc4db7bc",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "302199004",
              "system": "http://snomed.info/sct",
              "display": "Examination - action (qualifier value)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Preoperative clinical examination</td><td><span class=\"nb\">25-Sep-1996</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1996-09-25",
        "subject": {
          "reference": "urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447",
          "display": "Ana Ullmann"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f9ccc954-1d7a-4e73-b4ce-da4ef4b681eb",
      "resource": {
        "resourceType": "Procedure",
        "id": "f9ccc954-1d7a-4e73-b4ce-da4ef4b681eb",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "396550006",
              "system": "http://snomed.info/sct",
              "display": "Blood test (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Routine preoperative blood tests</td><td><span class=\"nb\">25-Sep-1996</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1996-09-25",
        "subject": {
          "reference": "urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447",
          "display": "Ana Ullmann"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:82031985-4c04-401f-84ec-864e98a7b527",
      "resource": {
        "resourceType": "Procedure",
        "id": "82031985-4c04-401f-84ec-864e98a7b527",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "410590009",
              "system": "http://snomed.info/sct",
              "display": "Known possible (qualifier value)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Anaesthetic preoperative assessment</td><td><span class=\"nb\">25-Sep-1996</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1996-09-25",
        "subject": {
          "reference": "urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447",
          "display": "Ana Ullmann"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:395e8f02-5462-4406-9e37-236452148b81",
      "resource": {
        "resourceType": "Procedure",
        "id": "395e8f02-5462-4406-9e37-236452148b81",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "29303009",
              "system": "http://snomed.info/sct",
              "display": "Electrocardiographic procedure (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Electrocardiogram</td><td><span class=\"nb\">25-Sep-1996</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1996-09-25",
        "subject": {
          "reference": "urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447",
          "display": "Ana Ullmann"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8050c150-75aa-4e76-b5b5-1239c0c84946",
      "resource": {
        "resourceType": "Procedure",
        "id": "8050c150-75aa-4e76-b5b5-1239c0c84946",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "50697003",
              "system": "http://snomed.info/sct",
              "display": "Administration of general anesthetic (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>General anaesthesia for surgical procedure</td><td><span class=\"nb\">25-Sep-1996</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1996-09-25",
        "subject": {
          "reference": "urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447",
          "display": "Ana Ullmann"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:9a32fe5d-ea37-4025-aa1c-327313c9178e",
      "resource": {
        "resourceType": "Procedure",
        "id": "9a32fe5d-ea37-4025-aa1c-327313c9178e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "45595009",
              "system": "http://snomed.info/sct",
              "display": "Laparoscopic cholecystectomy (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Laparoscopic procedure</td><td><span class=\"nb\">25-Sep-1996</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1996-09-25",
        "subject": {
          "reference": "urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447",
          "display": "Ana Ullmann"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e8bbe708-5ea8-45c6-8a5f-7ac6eb318325",
      "resource": {
        "resourceType": "Device",
        "id": "e8bbe708-5ea8-45c6-8a5f-7ac6eb318325",
        "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:56d68c61-e8ad-4508-ba37-240b4b7674b6",
      "resource": {
        "resourceType": "Provenance",
        "id": "56d68c61-e8ad-4508-ba37-240b4b7674b6",
        "target": [
          {
            "reference": "urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447"
          },
          {
            "reference": "urn:uuid:ba3cbde5-1469-4615-a205-30fe5a121adc"
          },
          {
            "reference": "urn:uuid:17a37cc5-599a-48c6-86c0-918ca311e2bf"
          },
          {
            "reference": "urn:uuid:1bd29bdb-9c43-49c1-b716-b573497ad818"
          }
        ],
        "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:e8bbe708-5ea8-45c6-8a5f-7ac6eb318325"
            }
          }
        ],
        "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": "2026-03-20T18:19:25Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "1996-09-26T00:00:00Z"
}