intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:1bd29bdb-9c43-49c1-b716-b573497ad818"/> </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">Voluntary surgical sterilization, procedure completed</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 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> </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>Sterilization admitted</td> <td> <span class="nb">26-Sep-1996</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:a33c7949-dd02-4871-82a2-0107ef9d8af7"/> </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>Laparoscopic procedure</td> <td> <span class="nb">25-Sep-1996</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:36499765-3ce0-48c0-b292-e9b6cc4db7bc"/> </entry> <entry> <reference value="urn:uuid:f9ccc954-1d7a-4e73-b4ce-da4ef4b681eb"/> </entry> <entry> <reference value="urn:uuid:82031985-4c04-401f-84ec-864e98a7b527"/> </entry> <entry> <reference value="urn:uuid:395e8f02-5462-4406-9e37-236452148b81"/> </entry> <entry> <reference value="urn:uuid:8050c150-75aa-4e76-b5b5-1239c0c84946"/> </entry> <entry> <reference value="urn:uuid:9a32fe5d-ea37-4025-aa1c-327313c9178e"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447"/> <resource> <Patient> <id value="9c757acc-cf2e-4ac9-a16d-fa0bf19f0447"/> <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>Ana Ullmann</td> <td>female</td> <td>10-Dec-1962</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="DE"/> </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="4509-614820-5"/> </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="7116add1-af61-f87c-795b-08d02e4c4817"/> </identifier> <name> <text value="Ana Ullmann"/> <family value="Ullmann"/> <given value="Ana"/> </name> <telecom> <system value="phone"/> <value value="01994 53308"/> </telecom> <gender value="female"/> <birthDate value="1962-12-10"/> <address> <use value="home"/> <type value="physical"/> <line value="Ditschlerinstr. 5"/> <city value="Freising"/> <postalCode value="85354"/> <country value="Germany"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:f6201032-5084-4e53-b5cd-c50d2618ee4a"/> <resource> <Encounter> <id value="f6201032-5084-4e53-b5cd-c50d2618ee4a"/> <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>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> </text> <status value="completed"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <subject> <reference value="Patient/9c757acc-cf2e-4ac9-a16d-fa0bf19f0447"/> <display value="Ana Ullmann"/> </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="1996-09-26"/> </period> <individual> <reference value="urn:uuid:17a37cc5-599a-48c6-86c0-918ca311e2bf"/> </individual> </participant> <period> <start value="1996-09-26"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="183996000"/> <display value="Sterilization requested (situation)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:1bd29bdb-9c43-49c1-b716-b573497ad818"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:ba3cbde5-1469-4615-a205-30fe5a121adc"/> <resource> <PractitionerRole> <id value="ba3cbde5-1469-4615-a205-30fe5a121adc"/> <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: ba3cbde5-1469-4615-a205-30fe5a121adc</div> </text> <practitioner> <reference value="urn:uuid:17a37cc5-599a-48c6-86c0-918ca311e2bf"/> </practitioner> <organization> <reference value="urn:uuid:1bd29bdb-9c43-49c1-b716-b573497ad818"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:1bd29bdb-9c43-49c1-b716-b573497ad818"/> <resource> <Organization> <id value="1bd29bdb-9c43-49c1-b716-b573497ad818"/> <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: KfH-Nierenzentrum am Klinikum Freising, 85354 Freising, Germany</div> </text> <name value="KfH-Nierenzentrum am Klinikum Freising"/> <address> <city value="Freising"/> <postalCode value="85354"/> <country value="Germany"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:17a37cc5-599a-48c6-86c0-918ca311e2bf"/> <resource> <Practitioner> <id value="17a37cc5-599a-48c6-86c0-918ca311e2bf"/> <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: Liesbeth Budig</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="79f0e92e-8471-46f0-a377-128bcecc680d"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Budig"/> <given value="Liesbeth"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:a33c7949-dd02-4871-82a2-0107ef9d8af7"/> <resource> <Condition> <id value="a33c7949-dd02-4871-82a2-0107ef9d8af7"/> <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>Sterilization admitted</td> <td> <span class="nb">26-Sep-1996</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="Z30.2"/> <display value="Sterilization admitted"/> </coding> <text value="Sterilization admitted"/> </code> <subject> <reference value="urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447"/> <display value="Ana Ullmann"/> </subject> <onsetDateTime value="1996-09-26"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:36499765-3ce0-48c0-b292-e9b6cc4db7bc"/> <resource> <Procedure> <id value="36499765-3ce0-48c0-b292-e9b6cc4db7bc"/> <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>Preoperative clinical examination</td> <td> <span class="nb">25-Sep-1996</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="302199004"/> <display value="Examination - action (qualifier value)"/> </coding> </code> <subject> <reference value="urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447"/> <display value="Ana Ullmann"/> </subject> <performedDateTime value="1996-09-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:f9ccc954-1d7a-4e73-b4ce-da4ef4b681eb"/> <resource> <Procedure> <id value="f9ccc954-1d7a-4e73-b4ce-da4ef4b681eb"/> <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>Routine preoperative blood tests</td> <td> <span class="nb">25-Sep-1996</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="396550006"/> <display value="Blood test (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447"/> <display value="Ana Ullmann"/> </subject> <performedDateTime value="1996-09-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:82031985-4c04-401f-84ec-864e98a7b527"/> <resource> <Procedure> <id value="82031985-4c04-401f-84ec-864e98a7b527"/> <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>Anaesthetic preoperative assessment</td> <td> <span class="nb">25-Sep-1996</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="410590009"/> <display value="Known possible (qualifier value)"/> </coding> </code> <subject> <reference value="urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447"/> <display value="Ana Ullmann"/> </subject> <performedDateTime value="1996-09-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:395e8f02-5462-4406-9e37-236452148b81"/> <resource> <Procedure> <id value="395e8f02-5462-4406-9e37-236452148b81"/> <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>Electrocardiogram</td> <td> <span class="nb">25-Sep-1996</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="29303009"/> <display value="Electrocardiographic procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447"/> <display value="Ana Ullmann"/> </subject> <performedDateTime value="1996-09-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:8050c150-75aa-4e76-b5b5-1239c0c84946"/> <resource> <Procedure> <id value="8050c150-75aa-4e76-b5b5-1239c0c84946"/> <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>General anaesthesia for surgical procedure</td> <td> <span class="nb">25-Sep-1996</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="50697003"/> <display value="Administration of general anesthetic (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447"/> <display value="Ana Ullmann"/> </subject> <performedDateTime value="1996-09-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:9a32fe5d-ea37-4025-aa1c-327313c9178e"/> <resource> <Procedure> <id value="9a32fe5d-ea37-4025-aa1c-327313c9178e"/> <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>Laparoscopic procedure</td> <td> <span class="nb">25-Sep-1996</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="45595009"/> <display value="Laparoscopic cholecystectomy (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447"/> <display value="Ana Ullmann"/> </subject> <performedDateTime value="1996-09-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e8bbe708-5ea8-45c6-8a5f-7ac6eb318325"/> <resource> <Device> <id value="e8bbe708-5ea8-45c6-8a5f-7ac6eb318325"/> <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:56d68c61-e8ad-4508-ba37-240b4b7674b6"/> <resource> <Provenance> <id value="56d68c61-e8ad-4508-ba37-240b4b7674b6"/> <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:9c757acc-cf2e-4ac9-a16d-fa0bf19f0447"/> </target> <target> <reference value="urn:uuid:ba3cbde5-1469-4615-a205-30fe5a121adc"/> </target> <target> <reference value="urn:uuid:17a37cc5-599a-48c6-86c0-918ca311e2bf"/> </target> <target> <reference value="urn:uuid:1bd29bdb-9c43-49c1-b716-b573497ad818"/> </target> <recorded value="2026-03-20T18:19:25Z"/> <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:e8bbe708-5ea8-45c6-8a5f-7ac6eb318325"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>