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                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
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               <status value="empty"/>
               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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                  <display value="HL7 Europe"/>
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            <status value="final"/>
            <type>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="34105-7"/>
                  <display value="Hospital Discharge summary"/>
               </coding>
               <text value="Hospital Discharge Report"/>
            </type>
            <subject>
               <reference value="urn:uuid:c9c1f7c4-3c63-483f-babc-f5a50b87fd59"/>
               <display value="Nicolas Chauvin"/>
            </subject>
            <date value="2020-08-19T00:00:00Z"/>
            <author>
               <reference value="urn:uuid:5f3f7c93-4e10-4930-b594-762fc5144bce"/>
            </author>
            <title value="Hospital Discharge Report"/>
            <confidentiality value="N"/>
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               <reference value="urn:uuid:f9f8f6e5-c014-473c-89a4-e92867f34b02"/>
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            <section>
               <title value="Synthesis"/>
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                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="67781-5"/>
                     <display value="Summarization of encounter note"/>
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                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">COVID-19, pneumonia, recovering</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"/>
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               <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, a 32-year-old male, admitted on 05/08/2020 due to confirmed SARS-CoV-2 infection. On admission, the patient presented with fever, dry cough, dyspnoea, and reduced oxygen saturation. PCR testing confirmed COVID-19. Chest X-ray and CT thorax demonstrated bilateral ground-glass opacities consistent with COVID-19 pneumonia. The patient was treated with supplemental oxygen therapy, dexamethasone, and supportive measures including fluid management and antipyretics. Prone positioning was applied during periods of desaturation. No mechanical ventilation was required. Inflammatory markers peaked early and subsequently declined. The patient showed steady clinical improvement and was discharged on 19/08/2020 in stable condition with oxygen saturation within normal limits on room air. Please arrange follow-up including repeat chest imaging in 6 weeks. Further pulmonary function testing may be warranted.</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>COVID-19, virus identified</td>
                           <td>
                              <span class="nb">19-Aug-2020</span>
                           </td>
                           <td>active</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:6c076881-a259-4778-bc06-7a876d0df9ed"/>
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            </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>Plain X-ray of chest (procedure)</td>
                           <td>
                              <span class="nb">05-Aug-2020</span>
                           </td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:025400f7-c1db-4778-941d-1d51680e76cd"/>
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               <entry>
                  <reference value="urn:uuid:56d839c2-bbb0-4aa8-8761-fcb933bf614e"/>
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            </section>
            <section>
               <title value="Vital Signs during Stay"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8716-3"/>
                     <display value="Vital signs note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__hdr">
                        <tr>
                           <td>Body temperature</td>
                           <td>20-Aug-2020</td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:9fc39969-add2-416c-96af-1a4821373b2a"/>
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   <entry>
      <fullUrl value="urn:uuid:c9c1f7c4-3c63-483f-babc-f5a50b87fd59"/>
      <resource>
         <Patient>
            <id value="c9c1f7c4-3c63-483f-babc-f5a50b87fd59"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
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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"/>
               </tag>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Nicolas Chauvin</td>
                        <td>male</td>
                        <td>24-Jan-1993</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"/>
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               </type>
               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="4997-839776-5"/>
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            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               </type>
               <system value="http://local.setting.eu/identifier"/>
               <value value="33b3083e-07fa-9896-03e0-5aa9634ffd56"/>
            </identifier>
            <name>
               <text value="Nicolas Chauvin"/>
               <family value="Chauvin"/>
               <given value="Nicolas"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+33 7 83 01 24 29"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1993-01-24"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="55, rue Sophie Launay"/>
               <city value="Riou-sur-Salmon"/>
               <postalCode value="71580"/>
               <country value="France"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:9a408170-af0c-43bc-ba27-e4f36b82c639"/>
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         <Encounter>
            <id value="9a408170-af0c-43bc-ba27-e4f36b82c639"/>
            <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 Hospitalier de Belleville, Belleville-en-Beaujolais, France</td>
                        <td>05-08-2020 - 19-08-2020</td>
                        <td>
                           <ul>
                              <li>Disease caused by severe acute respiratory syndrome coronavirus 2 (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/c9c1f7c4-3c63-483f-babc-f5a50b87fd59"/>
               <display value="Nicolas Chauvin"/>
            </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="2020-08-19"/>
               </period>
               <individual>
                  <reference value="urn:uuid:9419f5aa-afe7-4ccd-bb8e-bc001f647188"/>
               </individual>
            </participant>
            <period>
               <start value="2020-08-19"/>
            </period>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="840539006"/>
                  <display value="Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)"/>
               </coding>
            </reasonCode>
            <serviceProvider>
               <reference value="urn:uuid:f9f8f6e5-c014-473c-89a4-e92867f34b02"/>
            </serviceProvider>
         </Encounter>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:5f3f7c93-4e10-4930-b594-762fc5144bce"/>
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         <PractitionerRole>
            <id value="5f3f7c93-4e10-4930-b594-762fc5144bce"/>
            <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: 5f3f7c93-4e10-4930-b594-762fc5144bce</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:9419f5aa-afe7-4ccd-bb8e-bc001f647188"/>
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            <organization>
               <reference value="urn:uuid:f9f8f6e5-c014-473c-89a4-e92867f34b02"/>
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         </PractitionerRole>
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   <entry>
      <fullUrl value="urn:uuid:f9f8f6e5-c014-473c-89a4-e92867f34b02"/>
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            <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 Hospitalier de Belleville, 69220 Belleville-en-Beaujolais, France</div>
            </text>
            <name value="Centre Hospitalier de Belleville"/>
            <address>
               <city value="Belleville-en-Beaujolais"/>
               <postalCode value="69220"/>
               <country value="France"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:9419f5aa-afe7-4ccd-bb8e-bc001f647188"/>
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         <Practitioner>
            <id value="9419f5aa-afe7-4ccd-bb8e-bc001f647188"/>
            <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: Monique Julien</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="c1f5cf83-f35d-477e-be4f-8503e63d607a"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            <name>
               <family value="Julien"/>
               <given value="Monique"/>
            </name>
         </Practitioner>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:6c076881-a259-4778-bc06-7a876d0df9ed"/>
      <resource>
         <Condition>
            <id value="6c076881-a259-4778-bc06-7a876d0df9ed"/>
            <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>COVID-19, virus identified</td>
                        <td>
                           <span class="nb">19-Aug-2020</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="U07.1"/>
                  <display value="COVID-19, virus identified"/>
               </coding>
               <text value="COVID-19, virus identified"/>
            </code>
            <subject>
               <reference value="urn:uuid:c9c1f7c4-3c63-483f-babc-f5a50b87fd59"/>
               <display value="Nicolas Chauvin"/>
            </subject>
            <onsetDateTime value="2020-08-19"/>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:025400f7-c1db-4778-941d-1d51680e76cd"/>
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         <Procedure>
            <id value="025400f7-c1db-4778-941d-1d51680e76cd"/>
            <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>Oxygen administration by mask (procedure)</td>
                        <td>
                           <span class="nb">19-Aug-2020</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="371908008"/>
                  <display value="Oxygen administration by mask"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:c9c1f7c4-3c63-483f-babc-f5a50b87fd59"/>
               <display value="Nicolas Chauvin"/>
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            <performedDateTime value="2020-08-19"/>
         </Procedure>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:b3e63081-c630-4a6a-8121-11b5248521c8"/>
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         <Procedure>
            <id value="b3e63081-c630-4a6a-8121-11b5248521c8"/>
            <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>Placing subject in prone position (procedure)</td>
                        <td>
                           <span class="nb">19-Aug-2020</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="431182000"/>
                  <display value="Placing subject in prone position"/>
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            <subject>
               <reference value="urn:uuid:c9c1f7c4-3c63-483f-babc-f5a50b87fd59"/>
               <display value="Nicolas Chauvin"/>
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            <performedDateTime value="2020-08-19"/>
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   <entry>
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         <Procedure>
            <id value="56d839c2-bbb0-4aa8-8761-fcb933bf614e"/>
            <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>Plain X-ray of chest (procedure)</td>
                        <td>
                           <span class="nb">05-Aug-2020</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="399208008"/>
                  <display value="Plain X-ray of chest"/>
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            <subject>
               <reference value="urn:uuid:c9c1f7c4-3c63-483f-babc-f5a50b87fd59"/>
               <display value="Nicolas Chauvin"/>
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            <performedDateTime value="2020-08-05"/>
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   <entry>
      <fullUrl value="urn:uuid:9fc39969-add2-416c-96af-1a4821373b2a"/>
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               <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <th>Vital Sign</th>
                        <th>Date</th>
                        <th>Measurement</th>
                     </tr>
                     <tr>
                        <td>Body temperature</td>
                        <td>20-Aug-2020</td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="vital-signs"/>
                  <display value="Vital Signs"/>
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            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="8310-5"/>
                  <display value="Body temperature"/>
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            </code>
            <subject>
               <reference value="urn:uuid:c9c1f7c4-3c63-483f-babc-f5a50b87fd59"/>
               <display value="Nicolas Chauvin"/>
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            <effectiveDateTime value="2020-08-20"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">SYNDERAI Synthetic Generator v5.0</div>
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            <status value="active"/>
            <distinctIdentifier value="synderai-generator-50"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div>
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               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
                  <display value="training"/>
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               <text value="Interoperability Testing and Training (non-clinical use)"/>
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            <activity>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                  <code value="CREATE"/>
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               <text value="Synthetic Example Data Generation"/>
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                  <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:519b86a0-228a-42e7-8f56-2f7b9375343c"/>
               </who>
            </agent>
         </Provenance>
      </resource>
   </entry>
</Bundle>